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BARTELL DRUGS #54
NPI 1417067109
Pharmacy - Community/Retail Pharmacy in Tacoma, WA

Active since August 30, 2006CLIA 50D2055601 · Waiver
3601 6TH AVE, TACOMA, WA 98406(253) 761-1248(253) 761-7462 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bartell Drugs #54 NPPES

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

BARTELL DRUGS #54 (NPI 1417067109) is a healthcare organization registered as a community/retail pharmacy in Tacoma, 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

NPI1417067109
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE BARTELL DRUG CO
Location Address3601 6TH AVETacoma, WA 98406-5405
Mailing Address4025 Delridge Way Sw, Ste 400Seattle, WA 98106-1249 · (206) 767-1316 · Fax (206) 767-1397
Phone(253) 761-1248
Fax(253) 761-7462
Organization SubpartNo
Authorized OfficialPeter KooSr Vp Of Pharmacy · (206) 763-2626
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 12, 2016
✔ NPI 1417067109 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 · CF00056781
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
3601 6TH AVE, Tacoma, WA 98406
Open in Google Maps ↗

Other Names 1

Doing Business AsBartell Drugs #54

Other Identifiers 3

Medicaid6024210WA
Other2110926Pk
Medicaid0333520057WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 50D2055601

Bartell Drugs - Tacoma #54 · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2055601
Laboratory TypePharmacy
Certificate Effective DateMarch 14, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJoseph Castellano
Laboratory Phone(717) 214-8545
Laboratory LocationBartell Drugs - Tacoma #543601 6th Ave S, Tacoma, WA 98406
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 4

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.
198 services192 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.
179 services179 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.
13 services13 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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Bartell Drugs #6954 carries, from the Medicare DMEPOS supplier directory.

Bartell Drugs #6954

DMEPOS supplier · Tacoma, WAOperated by The Bartell Drug Co
✔

Accepts Medicare assignment

Bartell Drugs #6954 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20476565
Medicare Participant SinceSeptember 1, 2016
Supplier Location3601 6th AveTacoma, WA 98406
Phone(253) 761-1248
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

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

MS. CHLOE B BENDLER PHT
Pharmacy Technician
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-1248
MRS. LORI LANDER GIRVIN
Pharmacist
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-1248
MR. PAUL FRANKLIN LUCHINO RPH
Pharmacist
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-1248
TERESITA MATEO PENNEY RX-TECHNICIAN
Pharmacy Technician
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-1248
VY LE HA TRAN IR60953404
Pharmacist
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-2520
MS. SARAH BROOKE RPH
Pharmacist
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-1248
MR. GERALD LAWRENCE GALLIGAN
Pharmacist
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-1248
DR. ALEXA CONZUELO GABRIEL PHARMD
Pharmacist
3601 6TH AVE
TACOMA, WA 98406
Pierce County (253) 761-2520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Bartell Drug Co's NPI number?

The NPI number for The Bartell Drug Co is 1417067109. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Bartell Drugs #54.

Where is The Bartell Drug Co located?

The Bartell Drug Co is located at 3601 6th Ave, Tacoma, WA 98406. The listed phone number is (253) 761-1248.

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.

Does The Bartell Drug Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bartell Drugs #6954 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does The Bartell Drug Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2055601) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Bartell Drug Co accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 11 other insurers list The Bartell Drug Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Bartell Drug Co was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.