NPIMap

Organization Active NPI

Saratoga Enterprises Inc

Doing business as Langley Drug

  • Community/Retail Pharmacy
  • Langley, WA
National Provider Identifier
1083764328
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
601604070 Issued in WA
Legal business name
SARATOGA ENTERPRISES INC
Doing business as
Langley Drug
Practice address
105 1St St
Langley, WA 98260-0047
Phone
(360) 221-4369
Fax
(360) 221-0828
NPI assigned
Jan 11, 2007
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Katherine Stallman, RPH
Title
PHRM Mang
Phone
(360) 331-5270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 601604070 WA Primary

Addresses

Primary practice location

105 1St St
Langley, WA 98260-0047

Mailing address

105 1St St
PO Box 47
Langley, WA 98260

Other identifiers 2

IdentifierTypeStateIssuer
4904480OtherNCPDP PROVIDER IDENTIFICATION NUMBER
6045009MedicaidWA

Other names 1

  • LANGLEY DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Langley Drug4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1083764328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 1ST ST",
            "address_2": "PO BOX 47",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "98260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 1ST ST",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982600047",
            "telephone_number": "360-221-4369",
            "fax_number": "360-221-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "STALLMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PHRM MANG",
        "authorized_official_telephone_number": "360-331-5270",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "601604070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4904480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6045009",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANGLEY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.