RANKOS STADIUM PHARMACY INC NPI 1710092762

NPI Information

NPI: 1710092762
Provider Name: RANKOS STADIUM PHARMACY INC
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 50D2053905

Address:
101 N TACOMA AVE
TACOMA, WA
ZIP 98403
Phone: (253) 383-2411
Get Directions

RANKOS STADIUM PHARMACY INC is a pharmacy in Tacoma, WA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. RANKOS STADIUM PHARMACY INC NPI is 1710092762. The provider is registered as an organization entity type.

The provider's business location address is:

101 N TACOMA AVE
TACOMA, WA
ZIP 98403-631
Phone: (253) 383-2411
Fax: (253) 572-4329

The provider's authorized official is Elizabeth Rankos .
The authorized official title is Pharmacist and has the following contact phone number (253) 383-2411.

The CLIA number assigned to this NPI record is 50D2053905 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 4/11/2022.

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	261Q00000X	Clinic/Center				No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	333600000X	Pharmacy				No
4	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
5	3336L0003X	Pharmacy	Long Term Care Pharmacy			No
6	3336S0011X	Pharmacy	Specialty Pharmacy			No
7	335E00000X	Prosthetic/Orthotic Supplier				No
8	333600000X	Pharmacy		CF00002934	WASHINGTON	Yes

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	4909620	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	6003065	MEDICAID	WASHINGTON
3	0191155	OTHER	WASHINGTON	DEPT OF L & I DME
4	0008703	OTHER	WASHINGTON	DEPT OF L & I

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »