Prescription Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHARCF60565722 Issued in WA

Legal business name

PRESCRIPTION PHARMACY PLLC

Practice address

800 Swift Blvd Ste 140
Richland, WA 99352-3559

Phone

(509) 713-7444

Fax

(509) 713-7422

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Randall JohnsonNPI 1194000497

Title

Owner/Pharmacist

Phone

(509) 539-2709

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• RX Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Rxltc, PLLC

  • Long Term Care Pharmacy
  • Kennewick, WA
  • NPI 1528566981

  Member Of

  NPD member

Locations

Practitioners 1

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

• Randall Johnson, PHARMD

  • Pharmacist
  • Richland, WA
  • NPI 1194000497
  NPD Authorized official

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1104207372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SWIFT BLVD",
            "address_2": "SUITE 140",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523549",
            "telephone_number": "509-713-7444",
            "fax_number": "509-713-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SWIFT BLVD STE 140",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523559",
            "telephone_number": "509-713-7444",
            "fax_number": "509-713-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "509-539-2709"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF60565722",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046229",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennille Prasad, RN
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC
• Premier Home Health Services LLC
• Heather Prentice
• Prescription Pharmacy
• Present Mind Counseling PLLC
• Private Healthcare Facilities
• Proliance Surgeons, Inc., P.S.
• Kacey Helena Provenzano, M.D.
• Providence Health & Services

• Community/Retail Pharmacy in Richland, WA
• Providers in Richland, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.