NPIMap

Organization Active NPI

Esl LLC

  • Community/Retail Pharmacy
  • Pasco, WA
National Provider Identifier
1073873378
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ESL LLC
Practice address
1525 W Court St
Pasco, WA 99301-4070
Phone
(509) 547-0953
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Eslam Mohamed
Title
Officer/Pharmacist
Phone
(732) 762-4960

Specialties & licenses 1

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

Addresses

Primary practice location

1525 W Court St
Pasco, WA 99301-4070

Mailing address

107 Erica Dr
Richland, WA 99352-8463

Other identifiers 1

IdentifierTypeStateIssuer
4934635OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • COLUMBIA MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia Medical 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.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1073873378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ERICA DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014070",
            "telephone_number": "509-547-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ESLAM",
        "authorized_official_title_or_position": "OFFICER/PHARMACIST",
        "authorized_official_telephone_number": "732-762-4960"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4934635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBIA MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.