Jollys Pharmacy Inc
Long Term Care Pharmacy
1412 Sw 43rd St, Suite 120, Renton
Washington, 98057-4803
425-251-6335 425-251-6337
Jollys Pharmacy Inc is a Long Term Care Pharmacy in Renton, Washington. It is located at 1412 Sw 43rd St, Suite 120, Renton and it's customer support contact number is 425-251-6335. The authorized person of Jollys Pharmacy Inc is Anderson S. Jolly, BS C PHARM who is Owner of the pharmacy and his contact number is 425-251-6335. Active license number of Jollys Pharmacy Inc is PHAR.CF.60065440 for Long Term Care Pharmacy in Washington. Jollys Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jollys Pharmacy Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Jollys Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jollys Pharmacy Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 1412 Sw 43rd St, Suite 120, Renton,
Washington, 98057-4803 |
| Phone: | 425-251-6335 |
| Fax: | 425-251-6337 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Anderson S. Jolly |
| Credentials: | BS C PHARM |
| Position: | Owner |
| Contact Number: | 425-251-6335 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1235388430 |
| NPI Enumeration Date: | 11 Sep, 2008 |
| NPI Last Update On: | 13 Sep, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jollys Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PHAR.CF.60065440 | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2007021 | Medicaid | Washington | |
Medicare Enrollment:
Jollys Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4981870581 | O20120103000687 | Jollys Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 4981870581 | O20120716000602 | Jollys Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Jollys Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Nebulizer Equipment & Supplies |
| • Surgical Dressings | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1412 Sw 43rd St Ste 120,
Renton, Washington |
| Zip: | 98057-4803 |
| Phone Number: | 425-251-6335 |
| Fax Number: | 425-251-6337 |
Patients can reach Jollys Pharmacy Inc at
1412 Sw 43rd St, Suite 120, Renton, Washington or can
call on customer care at 425-251-6335.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.