Organization Active NPI

Thome Enterprise L L C

Doing business as Howard's Drug

  • Long Term Care Pharmacy
  • Selah, WA
National Provider Identifier
1174616221
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THOME ENTERPRISE L L C
Doing business as
Howard's Drug
Practice address
300 Jim Clements Way
Suite a
Selah, WA 98942
Phone
(509) 902-6062
Fax
(509) 902-3996
NPI assigned
Oct 2, 2006
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Erik Mickelson
Title
Manager
Phone
(509) 834-7411

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 601963838 WA
Prosthetic/Orthotic Supplier 335E00000X 601963838 WA
Community/Retail Pharmacy 3336C0003X 601963838 WA
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

300 Jim Clements Way
Suite a
Selah, WA 98942

Mailing address

300 Jim Clements Way
Suite a
Selah, WA 98942
Phone (509) 902-6062

Other identifiers 3

IdentifierTypeStateIssuer
4901713OtherWANABP NUMBER
6016000MedicaidWA
601963838OtherWAUBI NUMBER

Other names 1

  • Howard's Drug Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070628000618 WA Part B Supplier - Pharmacy 6800995077 Practice locations: Selah, WA
O20100930042990 WA DME Supplier - PharmacyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company 6800995077 Practice locations: Selah, WA

National Provider Directory

National Provider Directory
Tax ID family
Thome Enterprises LLC2 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.

Locations

119 E 3rd Ave
Selah, WA 98942
Phone (509) 697-6125

300 Jim Clements Way
Ste a
Selah, WA 98942

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1174616221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JIM CLEMENTS WAY",
            "address_2": "SUITE A",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "98942",
            "telephone_number": "509-902-6062",
            "fax_number": "509-902-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JIM CLEMENTS WAY",
            "address_2": "SUITE A",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "98942",
            "telephone_number": "509-902-6062",
            "fax_number": "509-902-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOME ENTERPRISE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-834-7411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "601963838",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "601963838",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "601963838",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4901713",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6016000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI NUMBER",
            "identifier": "601963838",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard's Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Howard's Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.