NPIMap

Organization Active NPI

Chastains Inc

  • Community/Retail Pharmacy
  • Clarkston, WA
National Provider Identifier
1164573762
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.00001133 Issued in WA
Legal business name
CHASTAINS INC
Practice address
1275 Highland Ave
Clarkston, WA 99403-2846
Phone
(509) 758-5533
Fax
(509) 751-9545
NPI assigned
Jan 12, 2007
Organization subpart
No

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 2

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Owl Tri State Pharmacy1275 Highland Ave, Clarkston, WA 99403-2846(509) 758-5533 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs Does not accept assignmentParticipating since Jan 1, 1998

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170106000275 WA DME Supplier - Pharmacy 7517085939 Practice locations: Clarkston, WA
O20201015003210 WA Part B Supplier - Mass Immunization (Roster Biller Only) 7517085939 Practice locations: Clarkston, WA

National Provider Directory

National Provider Directory
Tax ID family
Chastains Inc4 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.

Locations

1275 Highland Ave
Clarkston, WA 99403
Phone (509) 758-2555

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Mr. Brian Morgan Auer, PHARMACIST
Title
Owner
Phone
(208) 743-5528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHAR.CF.00001133 WA Primary

Addresses

Primary practice location

1275 Highland Ave
Clarkston, WA 99403-2846

Mailing address

1275 Highland Ave
Clarkston, WA 99403-2846
Phone (509) 758-5533

Other identifiers 2

IdentifierTypeStateIssuer
8058599MedicaidID
6173801MedicaidWA

Other names 1

  • Owl Tri-State Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2026.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1164573762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032846",
            "telephone_number": "509-758-5533",
            "fax_number": "509-751-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032846",
            "telephone_number": "509-758-5533",
            "fax_number": "509-751-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASTAINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "AUER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-743-5528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00001133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8058599",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6173801",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owl Tri-State Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.