KELLEY-ROSS & ASSOC INC (NPI# 1629137096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629137096 |
| Entity Type | Organization |
| Organization Name | KELLEY-ROSS & ASSOC INC |
| Other Organization Name | KELLY ROSS PHARMACY AT 2200 |
| Practice Address |
910 Lenora St Ste 152 Seattle WA 98121-2754 |
| Practice Telephone | 2064053565 |
| Practice Fax Number | 2066529727 |
| Mailing Telephone | 2064053565 |
| Mailing Fax Number | 2066529727 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | RYAN OFTEBRO (VICE PRES) |
| Authorized Official Telephone | 2068171861 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00058874 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4932186 | 01 | |
| WA | 6029714 | 05 |
| Other Name | Type Code |
|---|---|
| KELLY ROSS PHARMACY AT 2200 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579526 | Kelley-ross & Assoc Inc | Pharmacy | 616 Olive Way, Seattle, WA 98101-1717 | 2005-09-26 |
| 1669517025 | Kelley-ross & Assoc Inc | Pharmacy | 904 7th Ave, Suite 103, Seattle, WA 98104-1132 | 2007-02-21 |
| Street Address |
910 LENORA ST STE 152 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98121-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821448994 | Northwest Pain Relief Centers, LLC | Clinic/Center | 910 Lenora St, Suite 160, Seattle, WA 98121-2754 | 2016-06-20 |
| 1417312042 | Dr. Justin Paquette, Dc | Chiropractor | 910 Lenora St, #160, Seattle, WA 98121-2754 | 2015-12-26 |
| 1902271349 | Alison Leigh Stillwell | Nurse Practitioner | 910 Lenora St, #160, Seattle, WA 98121-2754 | 2015-12-10 |
| 1053728246 | Vera Whole Health Wa PC | Clinic/Center | 910 Lenora St, Suite 152, Seattle, WA 98121-2754 | 2014-07-19 |
| 1033492285 | Evidence Based Healthcare, Pllc | Chiropractor | 910 Lenora St, Suite 160, Seattle, WA 98121-2754 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963233 | Mehrangiz Peimai | Interpreter | 2020 Terry Ave #203, Seattle, WA 98121 | 2020-08-21 |
| 1649839614 | Lisa Williams | Counselor | El Ray, 2119 2nd Ave, Seattle, WA 98121 | 2019-06-12 |
| 1629634332 | Emmanuel K Acheampong Jr. | Physical Therapist | 2720 4th Ave Apt 115, Seattle, WA 98121 | 2019-05-17 |
| 1538650049 | Laura Rochelle Sauvage | Dentist | 2045 Westlake Ave, Seattle, WA 98121 | 2018-05-21 |
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1881114601 | Brandon Tyler Thompson | Counselor | 2119 2nd Ave., Seattle, WA 98121 | 2017-06-22 |
| 1255886677 | Nkiruka Aderogba | Nurse Practitioner | 300 Lenora Street, Seattle, WA 98121 | 2016-08-16 |
| 1770924227 | Virginia J. Washburn | Marriage & Family Therapist | 2021 - 1st Ave., #g2, Seattle, WA 98121 | 2013-07-12 |
| 1700139706 | Maxine K Anderson | Psychoanalyst | 2100 Western Ave, #69, Seattle, WA 98121 | 2012-10-16 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| Find all providers in zip 98121 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1942776901 | Rachel Sharon Weinbaum Seidman | Pharmacy | 901 Boren Ave Ste 100, Seattle, WA 98104-3508 | 2018-10-17 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1235649609 | Genoa Healthcare, LLC | Pharmacy | 4200 Stone Way N, Seattle, WA 98103-7431 | 2017-10-11 |
| 1841720299 | The Bartell Drug Co | Pharmacy | 419 Ne 71st St Ste A, Seattle, WA 98115-5430 | 2017-06-19 |
| 1942747233 | Benchmark Seattle LLC | Pharmacy | 4507 Brooklyn Ave Ne, Seattle, WA 98105-4508 | 2017-01-24 |
| 1073060976 | The Bartell Drug Co | Pharmacy | 5625 22nd Ave Nw, Seattle, WA 98107-3119 | 2016-09-08 |
| Find all providers in SEATTLE | ||||
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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.