Active NPI
Pharm.D. LLC
- Pharmacist
- Yakima, WA
National Provider Identifier
1093887903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- PHARM.D. LLC
- Practice address
- 3910 Summitview Ave Ste 140
Yakima, WA 98902-2780 - Phone
- (509) 966-9672
- Fax
- (509) 972-8324
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David V Arnold, PHARM.D.
- Title
- Pharmacist
- Phone
- (509) 674-2571
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | Primary |
Addresses
Primary practice location
3910 Summitview Ave Ste 140
Yakima, WA 98902-2780
Mailing address
106 E. 1St Street
Cle Elum, WA 98922
Phone (509) 966-9672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6025589 | Medicaid | WA |
Other names 1
- Medicine Mart Pharmacy
National Provider Directory
National Provider DirectoryLocations
106 E 1st St
Cle Elum, WA 98922
Phone (509) 674-2571
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cle Elum, WA
- NPI 1033281951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1093887903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E. 1ST STREET",
"city": "CLE ELUM",
"state": "WA",
"postal_code": "98922",
"telephone_number": "509-966-9672",
"fax_number": "509-972-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 SUMMITVIEW AVE STE 140",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022780",
"telephone_number": "509-966-9672",
"fax_number": "509-972-8324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARM.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "509-674-2571",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6025589",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Mart Pharmacy",
"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 Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.