MEDICARE: PILLPACK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1154263432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILLPACK LLC

Provider Business Mailing Address
First Line	:	410 TERRY AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-5210
Country	:	US
Telephone Number	:	855-745-5725
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 EAST NORTH BELT ROAD, SUITE 100
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89115
Country	:	US
Telephone Number	:	855-745-5725
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	TANVI JAYANTI PATEL
Credential	:
Telephone Number	:	206-266-1000

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “PILLPACK LLC ” Practice Location

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