Organization Active NPI

Walla Walla General Hospital

  • Community/Retail Pharmacy
  • Walla Walla, WA
National Provider Identifier
1013299965
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF60252105 Issued in WA
Legal business name
WALLA WALLA GENERAL HOSPITAL
Practice address
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Phone
(509) 527-8333
Fax
(509) 527-8183
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Geoff Jones
Title
Director of Pharmacy
Phone
(509) 527-8268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF60252105 WA Primary

Addresses

Primary practice location

1111 S 2ND Ave
Walla Walla, WA 99362-4118

Mailing address

1111 S 2ND Ave
Walla Walla, WA 99362-4118
Phone (509) 527-8268

Other identifiers 1

IdentifierTypeStateIssuer
2132004OtherPK

Other names 1

  • Adventist Health Community Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1013299965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624118",
            "telephone_number": "509-527-8268",
            "fax_number": "509-527-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624118",
            "telephone_number": "509-527-8333",
            "fax_number": "509-527-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "509-527-8268"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF60252105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.