Organization Active NPI

First Pharma Associates, LLC

Doing business as Koru Pharmacy

  • Compounding Pharmacy
  • Spokane, WA
National Provider Identifier
1083759856
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
FIRST PHARMA ASSOCIATES, LLC
Doing business as
Koru Pharmacy
Practice address
1802 N. Monroe St.
Spokane, WA 99205
Phone
(509) 343-6252
Fax
(509) 343-6251
NPI assigned
Feb 20, 2007
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Erik Nelson, PHARMDNPI 1215377544
Title
President
Phone
(509) 343-6252

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF57842 WA
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

1802 N. Monroe St.
Spokane, WA 99205

Mailing address

1802 N. Monroe St.
Spokane, WA 99205
Phone (509) 343-6252

Other names 1

  • Koru Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.korupharmacy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120514000779 WA Part B Supplier - Pharmacy 9335302132 Practice locations: Spokane, WA
O20221215002517 WA Part B Supplier - Mass Immunization (Roster Biller Only) 9335302132 Practice locations: Spokane, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2184057Koru Pharmacy1802 N Monroe St, Spokane, WA 99205Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1802 N Monroe St
Spokane, WA 99205
Phone (509) 343-6252

528 E Spokane Falls Blvd
Spokane, WA 99202
Phone (509) 328-1582

528 E Spokane Falls Blvd
Ste 110
Spokane, WA 99202
Phone (509) 343-6252

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1083759856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N. MONROE ST.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-343-6252",
            "fax_number": "509-343-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N. MONROE ST.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-343-6252",
            "fax_number": "509-343-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHARMA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-343-6252",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF57842",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.korupharmacy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 N Monroe St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992054528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Koru Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.