KSR HEALTH CARE LLC (NPI# 1093274458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093274458 |
| Entity Type | Organization |
| Organization Name | KSR HEALTH CARE LLC |
| Practice Address |
507 Stevens Avenue Suite Aaa Sultan WA 98294 |
| Mailing Address |
8547 Avondale Rd Ne Redmond WA 98052-3308 |
| Practice Telephone | 3609535250 |
| Practice Fax Number | 3605694161 |
| Mailing Telephone | 3607908750 |
| Mailing Fax Number | 3605694161 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | SIMEON ROTH (PHARMACY MANAGER) |
| Authorized Official Telephone | 3609535250 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Invara | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316577869 | Ksr Health Care LLC | Pharmacy | 507 W Stevens Ave Ste Aaa, Sultan, WA 98294-9515 | 2020-01-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KSR HEALTH CARE LLC | 31111 Us-2, Sultan, WA 98294 |
| Street Address |
507 STEVENS AVENUE SUITE AAA |
| City | SULTAN |
| State | WA |
| Zip Code | 98294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477090819 | Mary Kaitlin Thompson | Occupational Therapist | 501 Date Ave, Sultan, WA 98294 | 2017-01-24 |
| 1528419413 | Sarah Frances Sadler | Naturopath | 31503 Us 2, Sultan, WA 98294 | 2016-06-22 |
| 1376984591 | Dana Lynn Mccarty | Behavioral Analyst | 714 Fir Ave., Sultan, WA 98294 | 2013-07-16 |
| 1467792747 | Rebecca Kmitta | Specialist | 514 4th Street, Sultan, WA 98294 | 2013-02-22 |
| 1518267624 | Alice Carol Buehring | Counselor | 311 Us Highway 2, Sultan, WA 98294 | 2010-10-25 |
| 1801083274 | Summit Rehabilitation, LLC | Physical Therapist | 507 State Route 2, Ste E, Sultan, WA 98294 | 2007-10-01 |
| 1063587814 | Brian C Copple | Chiropractor | 311 U.S. Hwy 2, Sultan, WA 98294 | 2006-11-21 |
| 1790859189 | Barbara Heintz Mcdaniel | Specialist | 311 Stevens Ave., Sultan, WA 98294 | 2006-11-20 |
| 1598855538 | Eric Paul Greenhalgh | Dentist | 811 W. Stevens Ave., Sultan, WA 98294 | 2006-10-13 |
| 1114907003 | Lisa Thu Dang | Physical Therapist | 507 Sr 2, E & F, Sultan, WA 98294 | 2006-01-18 |
| Find all providers in zip 98294 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678240 | Washington Institute for Coagulation | Pharmacy | 921 Terry Ave Ste A, Seattle, WA 98104-1239 | 2019-06-19 |
| 1184171704 | Pharmacy Corporation of America | Pharmacy | 18110 Se 34th St Bldg 2, Vancouver, WA 98683-9440 | 2016-09-01 |
| 1770995722 | Healthpoint | Pharmacy | 13030 Military Rd S Ste 206, Tukwila, WA 98168-3080 | 2014-05-27 |
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1982025128 | Seattle Cancer Care Alliance | Pharmacy | 1560 N 115th St Ste G-16a, Seattle, WA 98133-8414 | 2013-12-13 |
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1326472234 | Lourdes West Pasco Pharmacy | Pharmacy | 7425 Wrigley Dr Ste 104, Pasco, WA 99301-5292 | 2013-08-27 |
| 1386089761 | Unity Care Northwest | Pharmacy | 218 Unity St, Bellingham, WA 98225-4420 | 2013-04-30 |
| 1619205267 | Puget Sound Pharmacy LLC | Pharmacy | 1112 6th Ave Ste 101, Tacoma, WA 98405-4048 | 2009-11-19 |
| 1235263245 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1420 5th Ave., Suite 375, Seattle, WA 98101 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.