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SUPER 1 PHARMACY
NPI 1952399388
Pharmacy - Community/Retail Pharmacy in Ellensburg, WA

Active since October 10, 2005
200 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926(509) 962-7777(509) 962-7785 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Super 1 Pharmacy NPPES

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

SUPER 1 PHARMACY (NPI 1952399388) is a healthcare organization registered as a community/retail pharmacy in Ellensburg, Washington and active in the NPI registry since October 2005. The organization lists Jeffry Philipps, Pres, as its authorized official.

NPPES Registry Identity

NPI1952399388
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROSAUERS SUPERMARKETS INC
Location Address200 E MOUNTAIN VIEW AVEEllensburg, WA 98926-3771
Mailing AddressPo Box 9000Spokane, WA 99209-9000
Phone(509) 962-7777
Fax(509) 962-7785
Organization SubpartNo
Authorized OfficialJeffry PhilippsPres · (509) 326-8900
Enumeration DateOctober 10, 2005
Last NPPES UpdateSeptember 13, 2007
✔ NPI 1952399388 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 · 262010403851
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
200 E MOUNTAIN VIEW AVE, Ellensburg, WA 98926
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Other Names 1

Doing Business AsSuper 1 Pharmacy

Other Identifiers 3

Other4917956Other Id Number
Medicaid6003529WA
Medicare NSC0636370010

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 ›

Areas of Expertise CMS Part B claims 2

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.
218 services218 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
211 services211 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Super 1 Pharmacy #30 carries, from the Medicare DMEPOS supplier directory.

Super 1 Pharmacy #30

DMEPOS supplier · Ellensburg, WAOperated by Rosauers Supermarkets Inc
✔

Accepts Medicare assignment

Super 1 Pharmacy #30 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)20526635
Medicare Participant SinceOctober 25, 2011
Supplier Location200 E. Mt. View AvenueEllensburg, WA 98926
Phone(509) 962-7777
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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

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

MS. TUESDAY MARIE BOSCH R.PH.
Pharmacist
200 E MOUNTAIN VIEW AVE
ELLENSBURG, WA 98926
Kittitas County (509) 962-7777

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 Rosauers Supermarkets Inc's NPI number?

The NPI number for Rosauers Supermarkets Inc is 1952399388. It was assigned to this organization in the NPPES registry on October 10, 2005. The provider is doing business as Super 1 Pharmacy.

Where is Rosauers Supermarkets Inc located?

Rosauers Supermarkets Inc is located at 200 E Mountain View Ave, Ellensburg, WA 98926. The listed phone number is (509) 962-7777.

What is Rosauers Supermarkets Inc's specialty?

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

Does Rosauers Supermarkets Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Super 1 Pharmacy #30 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Rosauers Supermarkets Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Rosauers Supermarkets Inc 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 Rosauers Supermarkets Inc was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.