Organization Active NPI

LJS Furness Drug

  • Community/Retail Pharmacy
  • Kelso, WA
National Provider Identifier
1205906385
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.00056878 Issued in WA
Legal business name
LJS FURNESS DRUG
Doing business as
LJS FURNESS DRUG
Practice address
114 Pacific Ave S
Kelso, WA 98626-1616
Phone
(360) 425-3280
Fax
(360) 425-0625
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Lawrence Schmidt
Title
Owner Phcst
Phone
(360) 425-3280

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.00056878 WA Primary
Long Term Care Pharmacy 3336L0003X
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

114 Pacific Ave S
Kelso, WA 98626-1616

Mailing address

114 Pacific Ave S
Kelso, WA 98626-1616
Phone (360) 425-3280

Other identifiers 2

IdentifierTypeStateIssuer
6005383MedicaidWA
2108511OtherPK

Other names 1

  • LJS FURNESS DRUG Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1205906385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PACIFIC AVE S",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261616",
            "telephone_number": "360-425-3280",
            "fax_number": "360-425-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PACIFIC AVE S",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261616",
            "telephone_number": "360-425-3280",
            "fax_number": "360-425-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJS FURNESS DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "360-425-3280"
    },
    "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": "PHAR.CF.00056878",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005383",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LJS FURNESS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.