Active NPI
Kabafusion Wa, LLC
- Home Infusion Therapy Pharmacy
- Redmond, WA
National Provider Identifier
1831989284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- KABAFUSION WA, LLC
- Practice address
- 14935 NE 87TH St Ste B-101
Redmond, WA 98052-2046 - Phone
- (888) 211-6972
- Fax
- (425) 507-2024
- NPI assigned
- May 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tina Benkendorfer, PHARM. D.
- Title
- Chief Operating Officer
- Phone
- (800) 435-3020
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
14935 NE 87TH St Ste B-101
Redmond, WA 98052-2046
Mailing address
17777 Center Court Dr N Ste 550
Cerritos, CA 90703-9337
Phone (800) 435-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251017002526 | WA | DME Supplier - Pharmacy | 0648767004 | Practice locations: Redmond, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kabafusion Wa, LLC | Infusion Drugs|External Infusion Pumps and/or Supplies|Urological Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
14935 NE 87th St
Ste B101
Redmond, WA 98052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1831989284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17777 CENTER COURT DR N STE 550",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039337",
"telephone_number": "800-435-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14935 NE 87TH ST STE B-101",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522046",
"telephone_number": "888-211-6972",
"fax_number": "425-507-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KABAFUSION WA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-08",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "BENKENDORFER",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "800-435-3020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.