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INVARA
NPI 1093274458
Pharmacy - Clinic Pharmacy in Sultan, WA

Active since March 15, 2019CLIA 50D2175440 · Waiver
31111 US-2, SULTAN, WA 98294(360) 953-5250(360) 294-8529 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2022, Dec 22, 2021, Jul 26, 2021 and 2 more (5 updates tracked since 2019).

About Invara NPPES

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

INVARA (NPI 1093274458) is a healthcare organization registered as a clinic pharmacy in Sultan, Washington and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Simeon Roth, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1093274458
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKSR HEALTH CARE LLC
Location Address31111 US-2Sultan, WA 98294
Mailing AddressPo Box 90Sultan, WA 98294-0090 · (360) 953-5250 · Fax (360) 294-8529
Phone(360) 953-5250
Fax(360) 294-8529
Organization SubpartNo
Authorized OfficialSimeon RothPharmacy Manager · (360) 953-5250
Enumeration DateMarch 15, 2019
Last NPPES UpdateMarch 10, 20225 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1093274458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
31111 US-2, Sultan, WA 98294
Open in Google Maps ↗

Other Names 1

Doing Business AsInvara

Other Identifiers 1

Medicaid2132773WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 50D2175440

Invara Pharmacy · Sultan, WA
Active · expires Apr 4, 2028
CLIA Number50D2175440
Laboratory TypePharmacy
Certificate Effective DateNovember 20, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKristen Mahler
Laboratory Phone(360) 953-5250
Laboratory LocationInvara Pharmacy31111 Us-2, Sultan, WA 98294
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
38 services38 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.
35 services35 patients

Other Providers at the Same Location NPPES

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

KSR HEALTH CARE LLC
Clinic/Center
31111 US-2
SULTAN, WA 98294
Snohomish County (360) 953-5250

Frequently Asked Questions

What is KSR HEALTH CARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1093274458, enumerated as an "organization" on March 15, 2019.

Where is the provider located?

The provider is located at 31111 US-2 SULTAN, WA 98294 and the phone number is (360) 953-5250.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.

What insurance does KSR HEALTH CARE LLC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.