Reliant RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHAR.CF.60558051 Issued in WA

Legal business name

RELIANT RX, LLC

Practice address

767 Williams Blvd
Richland, WA 99354-3221

Phone

(866) 440-5457

Fax

(844) 340-7322

NPI assigned

Apr 30, 2015

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

RELIANT RX, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Tammy Marie Kroetch

Title

Ceo

Phone

(509) 343-3400

Specialties & licenses 5

Addresses

Other identifiers 1

Part of

Reliant RX LLC

Locations

Practitioners 4

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.

• Jacob D Crisp, PHARMD

  • Pharmacist
  • Spokane, WA
  • NPI 1619222890
  NPD (past)
• Rachel Marie Druffel, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Spokane, WA
  • NPI 1619232063
  NPD (past)
• James D Hall, PHARMD

  • Pharmacist
  • Spokane, WA
  • NPI 1669728861
  NPD (past)
• Mimi McClellan, PHARMD

  • Pharmacist
  • Spokane, WA
  • NPI 1518366244
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1184001935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N ASTOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072112",
            "telephone_number": "509-343-3400",
            "fax_number": "509-340-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 WILLIAMS BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543221",
            "telephone_number": "866-440-5457",
            "fax_number": "844-340-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT RX, LLC",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "KROETCH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-343-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60558051",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60558051",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60558051",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60558051",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60558051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045307",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura O Reka, PA-C
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• Remedy Health and Wellness PLLC
• Renew Counseling Services LLC (Renew Counseling Services)
• Renewal Adult Family Home
• Renewed Hope Psychiatry
• Renewed Pathway, PLLC

• Long Term Care Pharmacy in Richland, WA
• Providers in Richland, 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 Apr 28, 2016; 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.