Acts Pharmacy and Healthcare Services, LLC
NPI 1720564925ActiveOrganization· Pharmacy· Tacoma, WA
Pharmacy in Tacoma, Washington, registered in NPPES in July 2018. The authorized official on file is Jazel Jane Manongdo Bautista, RPH, Governor/Pharmacist-In-Charge. Medicare paid $80,945 for services to 265 patients in 2024.
Overview
| NPI | 1720564925 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2018 |
| Last updated in NPPES | Mar 9, 2022 |
| Certified by provider | Mar 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Clinic Pharmacy | 3336C0002X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 265 |
|---|---|
| Services billed | 969 across 12 procedure codes |
| Paid by Medicare | $80,945 |
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