NPIMap

Organization Active NPI

Halls Drug Center Inc

  • Long Term Care Pharmacy
  • Centralia, WA
National Provider Identifier
1205929429
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
CF60099201 Issued in WA
Legal business name
HALLS DRUG CENTER INC
Practice address
505 S Tower Ave Ste 2B
Centralia, WA 98531-3919
Phone
(360) 736-5000
Fax
(360) 736-6934
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Warren Hall
Title
Owner
Phone
(360) 736-3301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X CF60099201 WA Primary

Addresses

Primary practice location

505 S Tower Ave Ste 2B
Centralia, WA 98531-3919

Mailing address

1205 Centralia Ave
Centralia, WA 98531-3705
Phone (360) 736-3301

Other identifiers 2

IdentifierTypeStateIssuer
2108022OtherPK
6026652MedicaidWA

Other names 1

  • HALLS LONG TERM CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Halls Drug Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

505 S Tower Ave
Ste 2B
Centralia, WA 98531
Phone (360) 736-5000

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": "1457481600000",
    "number": "1205929429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CENTRALIA AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313705",
            "telephone_number": "360-736-3301",
            "fax_number": "360-736-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S TOWER AVE STE 2B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313919",
            "telephone_number": "360-736-5000",
            "fax_number": "360-736-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLS DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-736-3301"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "CF60099201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108022",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6026652",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLS LONG TERM CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.