RXTRACARE PHARMACY INC NPI 1104821701

NPI Information

NPI: 1104821701
Provider Name: RXTRACARE PHARMACY INC

Doing Business As: U & I PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
29 148TH AVE SE
BELLEVUE, WA
ZIP 98007
Phone: (425) 747-3800
Get Directions

RXTRACARE PHARMACY INC is a durable medical equipment medical supplies in Bellevue, WA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RXTRACARE PHARMACY INC NPI is 1104821701. The provider is registered as an organization entity type.
The provider Is Doing Business As U & I Pharmacy.

The provider's business location address is:

29 148TH AVE SE
BELLEVUE, WA
ZIP 98007-113
Phone: (425) 747-3800
Fax: (425) 641-7203

The provider's authorized official is Holly Henry .
The authorized official title is President and has the following contact phone number (206) 632-7613.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			WASHINGTON	Yes
2	333600000X	Pharmacy			WASHINGTON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9035346	MEDICAID	WASHINGTON
2	9044983	MEDICAID	WASHINGTON
3	4900595	OTHER	WASHINGTON	NABP
4	6146005	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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