Organization Active NPI

Bates Drug Store Inc

  • Community/Retail Pharmacy
  • Spokane, WA
National Provider Identifier
1013090562
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00057208 Issued in WA
Legal business name
BATES DRUG STORE INC
Doing business as
BATES PHARMACY
Practice address
3704 N Nevada St
Spokane, WA 99207-2968
Phone
(509) 489-4500
Fax
(509) 489-4527
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Cordier
Title
President Ceo
Phone
(509) 489-4500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X CF00057208 WA Primary

Addresses

Primary practice location

3704 N Nevada St
Spokane, WA 99207-2968

Mailing address

3704 N Nevada St
Spokane, WA 99207-2968
Phone (509) 489-4500

Other identifiers 2

IdentifierTypeStateIssuer
2107952OtherPK
6088801MedicaidWA

Other names 1

  • BATES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3704 N Nevada St
Spokane, WA 99207
Phone (509) 474-0259

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1013090562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072968",
            "telephone_number": "509-489-4500",
            "fax_number": "509-489-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072968",
            "telephone_number": "509-489-4500",
            "fax_number": "509-489-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "CORDIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "509-489-4500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107952",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6088801",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.