KSR HEALTH CARE LLC (NPI# 1316577869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316577869 |
| Entity Type | Organization |
| Organization Name | KSR HEALTH CARE LLC |
| Practice Address |
507 W Stevens Ave Ste Aaa Sultan WA 98294-9515 |
| Mailing Address |
Po Box 90 Sultan WA 98294-0090 |
| Practice Telephone | 3609535250 |
| Mailing Telephone | 3609535250 |
| Mailing Fax Number | 3605694161 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | SIMEON ROTH (CEO) |
| Authorized Official Telephone | 3609535250 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2132773 | 05 |
| Other Name | Type Code |
|---|---|
| Invara | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093274458 | Ksr Health Care LLC | Pharmacy | 507 Stevens Avenue, Suite Aaa, Sultan, WA 98294 | 2019-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KSR HEALTH CARE LLC | 31111 Us-2, Sultan, WA 98294 |
| Street Address |
507 W STEVENS AVE STE AAA |
| City | SULTAN |
| State | WA |
| Zip Code | 98294-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093274458 | Ksr Health Care LLC | Pharmacy | 507 Stevens Avenue, Suite Aaa, Sultan, WA 98294 | 2019-03-15 |
| 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 |
| Find all providers in zip 98294 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1730724105 | Silver Lake Pharmacy Inc | Pharmacy | 10315 19th Ave Se Ste 104, Everett, WA 98208-4268 | 2019-11-09 |
| 1437708641 | Ets Consulting LLC | Pharmacy | 6007 244th St Sw Ste A1, Mountlake Terrace, WA 98043-5427 | 2019-09-10 |
| 1891341616 | Nwpa Inc | Pharmacy | 21509 State Route 410 E Ste 4, Bonney Lake, WA 98391-4104 | 2019-08-16 |
| 1669033288 | Suncrest Pharmacy Group, LLC | Pharmacy | 5919f Highway 291, Nine Mile Falls, WA 99026 | 2019-06-25 |
| 1750948956 | Lacey Square Pharmacy Inc | Pharmacy | 6020 Pacific Ave Se Ste C, Lacey, WA 98503-1319 | 2019-05-22 |
| 1306338868 | Manhattan Village Pharmacy Inc. | Pharmacy | 10102 E Knox Ave Ste 400, Spokane Valley, WA 99206-4146 | 2018-05-31 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1891167755 | Think Different | Pharmacy | 31710 50th Ln Sw Apt V201, Federal Way, WA 98023-3747 | 2015-10-30 |
| 1104207372 | Prescription Pharmacy Pllc | Pharmacy | 800 Swift Blvd Ste 140, Richland, WA 99352-3559 | 2015-06-14 |
| 1528457728 | Estm Inc | Pharmacy | 133 N Ely St Ste C1, Kennewick, WA 99336-2941 | 2015-01-12 |
| 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.