Ksr Health Care LLC
NPI 1093274458 · Clinic Pharmacy · Sultan, WA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ksr Health Care LLC is a Clinic Pharmacy organization in Sultan, WA (NPI 1093274458).
Provider details
- NPI number
- 1093274458
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Simeon Roth, Pharmacy Manager(360) 953-5250
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
72 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 38 | $32 |
| Admn Sarscov2 Vacc 1 Dose90480 | 34 | $43 |
Typical Medicare-allowed amounts for these services range $32–$43 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Invara
- Doing business as
- Invara
Registry dates
- Enumerated
- 2019-03-15
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Frequently asked questions
- What is Ksr Health Care LLC's NPI number?
- Ksr Health Care LLC's National Provider Identifier (NPI) is 1093274458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ksr Health Care LLC?
- Ksr Health Care LLC is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is Ksr Health Care LLC located?
- Ksr Health Care LLC's practice location on file with NPPES is 31111 US-2, Sultan, WA 98294.
- What is Ksr Health Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Ksr Health Care LLC is (360) 953-5250.
- Does Ksr Health Care LLC accept Medicare?
- Ksr Health Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ksr Health Care LLC?
- The authorized official listed on Ksr Health Care LLC's NPPES record is Simeon Roth, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ksr Health Care LLC's NPI active?
- Yes — Ksr Health Care LLC's NPI (1093274458) is active in the NPPES registry as of the last update on 2022-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.