NPIMap

Organization Active NPI

Medical Center

  • Community/Retail Pharmacy
  • Yakima, WA
National Provider Identifier
1063516011
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00002290 Issued in WA
Legal business name
MEDICAL CENTER
Doing business as
MEDICINE MART
Practice address
1112 W Spruce St
Yakima, WA 98902-3210
Phone
(509) 453-4835
Fax
(509) 453-7691
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Richard Hester, PPH
Title
Pres
Phone
(509) 453-4835

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X CF00002290 WA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1112 W Spruce St
Yakima, WA 98902-3210

Mailing address

1112 W Spruce St
Yakima, WA 98902-3210
Phone (509) 453-4835

Other identifiers 2

IdentifierTypeStateIssuer
6130801MedicaidWA
4910471OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDICINE MART Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1063516011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W SPRUCE ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023210",
            "telephone_number": "509-453-4835",
            "fax_number": "509-453-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W SPRUCE ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023210",
            "telephone_number": "509-453-4835",
            "fax_number": "509-453-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "509-453-4835",
        "authorized_official_credential": "PPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00002290",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6130801",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4910471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.