ABERDEEN HEALTH MART PHARMACY – Community/Retail Pharmacy, NPI 1700912110

ABERDEEN HEALTH MART PHARMACY is a healthcare provider. based in Aberdeen, Washington. specializing in Community/Retail Pharmacy. The organization holds a License No. CF.00003068 (WA). The NPI Number for ABERDEEN HEALTH MART PHARMACY is 1700912110

Main info

Organization
Name
ABERDEEN HEALTH MART PHARMACY
NPI
1700912110
Phone
(360) 533-1525
Address
1812 SUMNER AVE
Authorized Official
JEFFREY SHANE HARRELL OWNER PHARMD
Enumeration Date
27 February 2007
Last Update Date
22 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness90
Years active:19State licenses:1Digital endpoints

Provider Addresses for ABERDEEN HEALTH MART PHARMACY

  • 1812 SUMNER AVE

    STE H

    ABERDEEN, WA 985204602

    Phone: (360) 533-1525

    Fax: (360) 533-1552

    Mailing address matches the actual address.

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: 2023-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20230228003352OPharmacyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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
G0008Administration of influenza virus vaccine104104$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage9797$0
90480Admn sarscov2 vacc 1 dose5050$0
91322Sarscov2 vac 50 mcg/0.5ml im5050$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1414$0
View full utilization report →

Insurance plans in this area (ZIP 98520)

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Reviews

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Frequently asked questions

Is there an official ID for ABERDEEN HEALTH MART PHARMACY in U.S. healthcare records?
The official identifier for ABERDEEN HEALTH MART PHARMACY is NPI 1700912110.
Active or inactive — what applies to ABERDEEN HEALTH MART PHARMACY?
You should see ABERDEEN HEALTH MART PHARMACY as active in CMS-hosted NPPES data.
How would a patient describe ABERDEEN HEALTH MART PHARMACY's focus?
For ABERDEEN HEALTH MART PHARMACY, the primary taxonomy reads as Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is ABERDEEN HEALTH MART PHARMACY associated with Aberdeen?
Public fields place ABERDEEN HEALTH MART PHARMACY around Aberdeen, Washington. Always confirm the exact site before visiting.
Can I trust this NPI listing for ABERDEEN HEALTH MART PHARMACY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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