Sixth Avenue Medical Building Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SIXTH AVENUE MEDICAL BUILDING PHARMACY

Practice address

508 W 6TH Ave Ste 100
Spokane, WA 99204-2738

Phone

(509) 455-9345

Fax

(509) 455-4479

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Erik James Nelson, PHARMDNPI 1215377544

Title

President

Phone

(509) 455-9345

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sixth Avenue LTC Pharmacy Doing business as

Tax ID family

Sixth Avenue LTC 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.

• Sixth Avenue Medical Pharmacy Inc

  • Pharmacy
  • Spokane, WA
  • NPI 1124039623
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik James Nelson, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Spokane, WA
  • NPI 1215377544
  NPD (past) Authorized official
• Jolyslene Robles Mendoza

  • Pharmacist
  • Spokane, WA
  • NPI 1306584743
  NPD (past)
• Madison Nicole Shrader-Bosch

  • Student in an Organized Health Care Education/Training Program
  • Spokane, WA
  • NPI 1457274482
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1093202087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W 6TH AVE",
            "address_2": "STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-455-9345",
            "fax_number": "509-455-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W 6TH AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042738",
            "telephone_number": "509-455-9345",
            "fax_number": "509-455-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTH AVENUE MEDICAL BUILDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-455-9345",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sixth Avenue LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Sittser
• Patricia Ellen Tozer Sittser, RN, LMHC
• Matthew Siva
• August C Sivak, DPT
• Leland G. Siwek, M.D.
• Sixth Avenue Medical Pharmacy Inc
• Deborah Lynne Skalabrin, M.S.W., L.I.C.S.W.
• Kimberly Skalla, DPM
• Danica Julia Skalski, SUDPT
• Kirsten Skalstad

• Long Term Care Pharmacy in Spokane, WA
• Providers in Spokane, WA by specialty
• Long Term Care Pharmacy in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.