NPIMap

Organization Active NPI

Tri Cities Community Health

Doing business as Tri Cities Community Health Kennewick Pharmacy

  • Clinic Pharmacy
  • Kennewick, WA
National Provider Identifier
1265198873
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
TRI CITIES COMMUNITY HEALTH
Doing business as
Tri Cities Community Health Kennewick Pharmacy
Practice address
721 S Auburn St
Kennewick, WA 99336-5629
Phone
(509) 547-2204
Fax
(509) 542-8836
NPI assigned
Nov 9, 2021
Reactivated
Dec 5, 2023
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Kristy Needham
Title
Ceo
Phone
(509) 547-2204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

721 S Auburn St
Kennewick, WA 99336-5629

Mailing address

PO Box 1452
Pasco, WA 99301-1223
Phone (509) 547-2204

Other names 1

  • TRI CITIES COMMUNITY HEALTH KENNEWICK PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri Cities Community Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1265198873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011223",
            "telephone_number": "509-547-2204",
            "fax_number": "509-542-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365629",
            "telephone_number": "509-547-2204",
            "fax_number": "509-542-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITIES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "deactivation_date": "2023-04-24",
        "reactivation_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-547-2204"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI CITIES COMMUNITY HEALTH KENNEWICK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.