Swansons Food of Aberdeen Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF00000826 Issued in WA

Legal business name

SWANSONS FOOD OF ABERDEEN INC

Practice address

117 N Boone St
Aberdeen, WA 98520

Phone

(360) 533-3294

Fax

(360) 533-1832

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Jann Carol Verney, RPH

Title

Pharmacy Manager

Phone

(360) 533-3294

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Swansons Owl Pharmacy Other name

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1053461103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N BOONE ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-533-3294",
            "fax_number": "360-533-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N BOONE ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-533-3294",
            "fax_number": "360-533-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSONS FOOD OF ABERDEEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "VERNEY",
        "authorized_official_first_name": "JANN",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "360-533-3294",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00000826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4915231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6157101",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swansons Owl Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David B Strider, PHARMD
• Autumn M Stuart
• Laurie Sturgill, AAC
• Kirk A Sund, DDS
• Anthony Ray Surratt, DMD
• Swansons Walk-in Clinic LLC
• Swansons Wellness Clinic LLC
• Erin Patricia Sweet
• Hong Tang
• Gwyn D Tarrance, LMP

• Pharmacy in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.