Ancillary Medical Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00002292 Issued in WA

Legal business name

ANCILLARY MEDICAL SERVICES INC

Doing business as

The Condensery Pharmacy

Practice address

117 N 1St St
Mount Vernon, WA 98273-2859

Phone

(360) 336-2102

Fax

(360) 336-2103

NPI assigned

Mar 8, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Moultray, RPH

Title

MGR Ceo and Pharmacist

Phone

(360) 336-2102

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• THE CONDENSERY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1184755282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732859",
            "telephone_number": "360-336-2102",
            "fax_number": "360-336-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCILLARY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "MOULTRAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MGR CEO AND PHARMACIST",
        "authorized_official_telephone_number": "360-336-2102",
        "authorized_official_credential": "RPH"
    },
    "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": "CF00002292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4915750",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6139703",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4915750",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CONDENSERY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Allen
• Barbara Marie Alumbaugh, LMP
• Tania Amador Churape
• Amethyst Counseling and Consulting
• Scott Darrel Amundsen, CDP
• Derek Anthony Anderson
• Marshall William Anderson, MD
• Randolph Verity Anderson, DPM
• Thea Jerusha Anderson, ARNP
• Cecelia Andress, LMP

• Community/Retail Pharmacy in Mount Vernon, WA
• Providers in Mount Vernon, 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 Sep 12, 2007; 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.