Organization Active NPI

Logar Pharmacy

  • Community/Retail Pharmacy
  • Benton City, WA
National Provider Identifier
1033431622
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00021805 Issued in WA
Legal business name
LOGAR PHARMACY
Practice address
515 9TH St
Suit a
Benton City, WA 99320
Phone
(509) 967-5037
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Mr. Hedayatullah Jalalyar, PHARM DNPI 1891025177
Title
Pharamcy Manager
Phone
(509) 967-5037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH00021805 WA Primary

Addresses

Primary practice location

515 9TH St
Suit a
Benton City, WA 99320

Mailing address

PO Box 4218
West Richland, WA 99353-4003
Phone (509) 967-5037

Other identifiers 1

IdentifierTypeStateIssuer
1970MedicaidWA

National Provider Directory

National Provider Directory

Locations

515 9th St
#A
Benton City, WA 99320
Phone (509) 588-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1033431622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4218",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993534003",
            "telephone_number": "509-967-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 9TH ST",
            "address_2": "SUIT A",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "99320",
            "telephone_number": "509-967-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "JALALYAR",
        "authorized_official_first_name": "HEDAYATULLAH",
        "authorized_official_title_or_position": "PHARAMCY MANAGER",
        "authorized_official_telephone_number": "509-967-5037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PH00021805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1970",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton City, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.