OTTERSENS PHARMACEUTICAL SVCS – Long Term Care Pharmacy, NPI 1477500080

OTTERSENS PHARMACEUTICAL SVCS is a healthcare provider. based in Seattle, Washington. specializing in Long Term Care Pharmacy. The organization holds a License No. PHAR.CF.00002361 (WA). The NPI Number for OTTERSENS PHARMACEUTICAL SVCS is 1477500080

Main info

Organization
Name
OTTERSENS PHARMACEUTICAL SVCS
NPI
1477500080
Phone
(206) 365-4048
Address
PO BOX 33026
Authorized Official
SONYA KOUSOUM PHARMACIST MANAGER PHARMD
Enumeration Date
28 May 2006
Last Update Date
19 July 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for OTTERSENS PHARMACEUTICAL SVCS

  • PO BOX 33026

    SEATTLE, WA 981330026

    Phone: (206) 365-4048

    Fax: (206) 365-4096

    Type: Mailing

  • 13023, Greenwood Avenue North, Broadview, Seattle, King County, Washington, 98133, United States

    SEATTLE, WA 981337308

    Phone: (206) 365-4048

    Fax: (206) 365-4096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (142 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210118000669OMass Immunization (Roster Biller Only)WA2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90480Admn sarscov2 vacc 1 dose254254$0
91322Sarscov2 vac 50 mcg/0.5ml im242242$0
G0008Administration of influenza virus vaccine219215$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage213213$0
0134AAdm sarscv2 bvl 50mcg/.5ml a101101$0
View full utilization report →

Insurance plans in this area (ZIP 98133)

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Reviews

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Frequently asked questions

What is the registry number for OTTERSENS PHARMACEUTICAL SVCS?
The registry entry for OTTERSENS PHARMACEUTICAL SVCS shows NPI 1477500080.
Quick check: is OTTERSENS PHARMACEUTICAL SVCS active?
Public NPPES data shows OTTERSENS PHARMACEUTICAL SVCS with an active NPI status right now.
Which specialty label fits OTTERSENS PHARMACEUTICAL SVCS?
NPPES ties OTTERSENS PHARMACEUTICAL SVCS to Long Term Care Pharmacy in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to OTTERSENS PHARMACEUTICAL SVCS?
The directory associates OTTERSENS PHARMACEUTICAL SVCS with Seattle, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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