The Bartell Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00003998 Issued in WA

Legal business name

THE BARTELL DRUG CO

Practice address

27055 Pacific Hwy S
Des Moines, WA 98198-9250

Phone

(253) 839-1693

Fax

(253) 839-2876

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Koo

Title

Sr VP of Pharmacy

Phone

(206) 763-2626

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BARTELL DRUGS #32 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faith Irene Awuor

  • Pharmacy Technician
  • Des Moines, WA
  • NPI 1700860673
  NPD (past)
• Laura Brooke Cantrell

  • Pharmacy Technician
  • Des Moines, WA
  • NPI 1609130103
  NPD (past)
• Ha Chau Ly Nguyen, PHARMD

  • Pharmacist
  • Des Moines, WA
  • NPI 1366706715
  NPD (past)
• Thanh-Truc Vu Nguyen, PHARMD

  • Pharmacist
  • Des Moines, WA
  • NPI 1396090478
  NPD (past)
• Ellen Marie Sarono

  • Pharmacy Technician
  • Des Moines, WA
  • NPI 1053929745
  NPD (past)
• Margaret Sword, RPH

  • Pharmacist
  • Seattle, WA
  • NPI 1750365508
  NPD (past)
• Nancy Tran

  • Pharmacy Technician
  • Des Moines, WA
  • NPI 1992323000
  NPD (past)
• Sharon Elaine Woodward, PHARMD

  • Pharmacist
  • Des Moines, WA
  • NPI 1417930983
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1992817878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DELRIDGE WAY SW",
            "address_2": "STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061249",
            "telephone_number": "206-767-1316",
            "fax_number": "206-767-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27055 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989250",
            "telephone_number": "253-839-1693",
            "fax_number": "253-839-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SR VP OF PHARMACY",
        "authorized_official_telephone_number": "206-763-2626"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00003998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6030118",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333520031",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108882",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTELL DRUGS #32",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yenealem Tesfaye Tassew
• Shannon Tebbetts, RN
• Vu H Thach
• Purnima Thapa
• The Bartell Drug Co
• The Choice Care
• The Ruby-Nell Agency
• Lisa Emily Theofelis, MC.61250418
• Therese Allen & Co.
• Debra Meshel Tietjen, LMP

• Community/Retail Pharmacy in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.

Verify at the official NPI Registry.