NPIMap

Organization Active NPI

Halls Drug Center Inc.

  • Community/Retail Pharmacy
  • Centralia, WA
National Provider Identifier
1023029527
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HALLS DRUG CENTER INC.
Practice address
417 S Tower Ave
Centralia, WA 98531
Phone
(360) 736-4433
Fax
(360) 736-8709
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Mr. Warren Lloyd Hall, PHARMACIST RPH
Title
Pres Ceo
Phone
(360) 736-3301

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CF00003081 WA
Community/Retail Pharmacy 3336C0003X Primary
Community/Retail Pharmacy 3336C0003X CF00058999 WA

Addresses

Primary practice location

417 S Tower Ave
Centralia, WA 98531

Mailing address

417 S Tower Ave
Centralia, WA 98531
Phone (360) 736-4433

Other identifiers 3

IdentifierTypeStateIssuer
4918174OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6003941MedicaidWA
6031025MedicaidWA

Other names 1

  • South Tower Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Halls Drug Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

417 S Tower Ave
Centralia, WA 98531
Phone (360) 736-5000

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1023029527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S TOWER AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-736-4433",
            "fax_number": "360-736-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S TOWER AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-736-4433",
            "fax_number": "360-736-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLS DRUG CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "360-736-3301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00003081",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00058999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4918174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003941",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6031025",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Tower Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.