Eastmont Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EASTMONT PHARMACY INC

Doing business as

Mitchells Pharmacy

Practice address

105 1/2 W Locust
Waterville, WA 98858

Phone

(509) 745-8095

Fax

(509) 745-9096

NPI assigned

Jul 30, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Glass

Title

Coowner

Phone

(509) 745-8095

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MITCHELLS PHARMACY Doing business as

Tax ID family

Eastmont Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastmont Pharmacy Inc

  dba Eastmont Pharmacy

  • Community/Retail Pharmacy
  • E Wenatchee, WA
  • NPI 1104831726
  NPD tax ID

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013922632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "WATERVILLE",
            "state": "WA",
            "postal_code": "988580578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 1/2 W LOCUST",
            "city": "WATERVILLE",
            "state": "WA",
            "postal_code": "98858",
            "telephone_number": "509-745-8095",
            "fax_number": "509-745-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMONT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "509-745-8095"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00004994",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4910231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MITCHELLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Washington Health Services Assocation (Professional Pharmacy Waterville)
• Central Washington Health Services Association (Confluence Health Waterville Clinic)
• Douglas County Hospital Dist #2
• Douglas County Hospital District 2 (Waterville Ambulance)
• Steven J Mongeon, PT
• Pamela Dawn Prpich, LMP
• June Elizabeth Skinner, CNA
• Adolfo Angel Vela-Pedraza
• Margaret Viebrock

• Community/Retail Pharmacy in Waterville, WA
• Providers in Waterville, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.