MEDICARE: ACCREDO HEALTH GROUP INC

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
2	3336H0001X	Home Infusion Therapy Pharmacy
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	3336S0011X	Specialty Pharmacy
5	333600000X	Pharmacy	PHAR.CF.00004193	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	2109525	OTHER	PK
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275589830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCREDO HEALTH GROUP INC

Provider Business Mailing Address
First Line	:	PO BOX 954041
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-0001
Country	:	US
Telephone Number	:	901-381-7141
Fax Number	:	901-261-6924

Provider Business Practice Location Address
First Line	:	22623 68TH AVE S
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-1981
Country	:	US
Telephone Number	:	253-872-2121
Fax Number	:	253-872-5663

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	VIC PERINI
Credential	:
Telephone Number	:	314-684-6273

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	12/05/2025

Similar Medicare Providers

1790009751 — MRS. JENNIFER LYNN HAYES RN
Practice Location Address:

22623 68TH AVE S
KENT, WA
98032-1981

Practice Phone: 253-872-2121
Practice Fax:

1063277432 — DONALD L PEARSON
Practice Location Address:

22623 68TH AVE S
KENT, WA
98032-1981

Practice Phone: 253-304-6365
Practice Fax:

1760335640 — ACCREDO HEALTH GROUP INC
Practice Location Address:

22623 68TH AVE S
KENT, WA
98032-1981

Practice Phone: 253-872-2121
Practice Fax:

1053207266 — DANIEL D HUYNH
Practice Location Address:

19435 68TH AVE S STE S102
KENT, WA
98032-2114

Practice Phone: 253-414-1983
Practice Fax:

1497476758 — ERDYLLE LOVE AQUINO MACAPINLAC ARNP
Practice Location Address:

19435 68TH AVE S STE S106
KENT, WA
98032-2114

Practice Phone: 253-414-1983
Practice Fax:

1912421348 — MR. ALEX GERACE
Practice Location Address:

23213 PACIFIC HWY S
KENT, WA
98032-2721

Practice Phone: 206-520-1448
Practice Fax:

Directions to “ACCREDO HEALTH GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.