BARTELL DRUGS #45
NPI 1063524940
Pharmacy - Community/Retail Pharmacy in Renton, WA

Q: What is The Bartell Drug Co's NPI number?

The NPI number for The Bartell Drug Co is 1063524940. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Bartell Drugs #45.

Q: What is The Bartell Drug Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 31, 2006CLIA 50D2055636 · Waiver

4700 NE 4TH ST, RENTON, WA 98059(425) 793-1015(425) 235-9703 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bartell Drugs #45 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARTELL DRUGS #45 (NPI 1063524940) is a healthcare organization registered as a community/retail pharmacy in Renton, Washington and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Peter Koo, Sr Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1063524940

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTHE BARTELL DRUG CO

Location Address4700 NE 4TH STRenton, WA 98059-4800

Mailing Address4025 Delridge Way Sw, Ste 400Seattle, WA 98106-1249 · (206) 767-1316 · Fax (206) 767-1397

Phone(425) 793-1015

Fax(425) 235-9703

Organization SubpartNo

Authorized OfficialPeter KooSr Vp Of Pharmacy · (206) 763-2626

Enumeration DateAugust 31, 2006

Last NPPES UpdateDecember 12, 2016

✔ NPI 1063524940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WA · CF00056197

Definition

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.

Also ListedPharmacyTaxonomy 333600000X

4700 NE 4TH ST, Renton, WA 98059

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Other Names 1

Doing Business AsBartell Drugs #45

Other Identifiers 3

Other2110499Pk

Medicaid6021315WA

Medicaid00333520050WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Buckeye Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2055636

Bartell Drugs - Renton Highlands #45 · Renton, WA

Active · expires Apr 4, 2028

CLIA Number50D2055636

Laboratory TypePharmacy

Certificate Effective DateMarch 15, 2013

Certificate Expiration DateApril 4, 2028

Laboratory DirectorJoseph Castellano

Laboratory Phone(717) 214-8545

Laboratory LocationBartell Drugs - Renton Highlands #454700 NE 4th St, Renton, WA 98059

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

155 services154 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

145 services145 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

14 services14 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

14 services14 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

14 services14 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTINE DELMULLE

Pharmacist (Nutrition Support)