NPIMap

Organization Active NPI

Camp Riley Drug Co. Inc

Doing business as Pharm A Save Monroe

  • Pharmacy
  • Monroe, WA
National Provider Identifier
1235136169
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CAMP RILEY DRUG CO. INC
Doing business as
Pharm A Save Monroe
Practice address
17788 147TH St SE
Monroe, WA 98272-1030
Phone
(360) 794-7351
Fax
(360) 805-5271
NPI assigned
Jul 7, 2005
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Mrs. Bridgett A Edgar, MANAGERNPI 1396786109
Title
Manager
Phone
(360) 794-7351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P0018X
Ambulatory Care PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P2201X
Clinical Pharmacology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208U00000X
Durable Medical Equipment & Medical Supplies 332B00000X 315001080 WA
Pharmacy 333600000X Primary

Addresses

Primary practice location

17788 147TH St SE
Monroe, WA 98272-1030

Mailing address

17788 147TH St SE
Monroe, WA 98272-1030
Phone (360) 794-7351

Other names 1

  • Pharm A Save Monroe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071006000040 WA Part B Supplier - Mass Immunization (Roster Biller Only) 9931294881 Practice locations: Monroe, WA

National Provider Directory

National Provider Directory

Locations

17788 147th St SE
Monroe, WA 98272
Phone (360) 794-4641

Practitioners & affiliated clinicians

Practitioners 12

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1235136169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17788 147TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721030",
            "telephone_number": "360-794-7351",
            "fax_number": "360-794-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17788 147TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721030",
            "telephone_number": "360-794-7351",
            "fax_number": "360-805-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP RILEY DRUG CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-794-7351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Pharmacology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "315001080",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharm A Save Monroe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharm A Save Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.