JOLLYS PHARMACY INC NPI 1235388430

NPI Information

  • NPI: 1235388430
  • Provider Name: JOLLYS PHARMACY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: READY MEDS PHARMACY
  • Address: 1412 SW 43RD ST
    SUITE 120
    RENTON, WA
    ZIP 98057
  • Phone: (425) 251-6335

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NPI Details

JOLLYS PHARMACY INC is a long term care pharmacy pharmacy in Renton, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. JOLLYS PHARMACY INC NPI is 1235388430. The provider is registered as an organization entity type.
The provider Is Doing Business As Ready Meds Pharmacy.

The provider's business location address is:

1412 SW 43RD ST
SUITE 120
RENTON, WA
ZIP 98057-803
Phone: (425) 251-6335
Fax: (425) 251-6337

The provider's authorized official is Anderson S. Jolly .
The authorized official title is Owner and has the following contact phone number (425) 251-6335.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 9/11/2008 and was last updated on 9/13/2017.

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
13336L0003XPharmacyLong Term Care PharmacyPHAR.CF.60065440WASHINGTONYes

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
12007021MEDICAIDWASHINGTON
26617820001MEDICARE NSCWASHINGTON

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: 11/21/2025

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