Gallery Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF00003996 Issued in WA

Legal business name

GALLERY PHARMACY INC

Practice address

1108 South Pacific Hwy
Long Beach, WA 98631-1037

Phone

(360) 642-4244

Fax

(360) 642-4245

NPI assigned

Nov 14, 2006

Last updated

Jul 3, 2008By 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

Mrs. Sheila Diane Weller, RPH

Title

Pharmacy Manager

Phone

(360) 642-4244

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1275605784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "address_2": "1108 S PACIFIC HWY",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "98631",
            "telephone_number": "360-642-4244",
            "fax_number": "360-642-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SOUTH PACIFIC HWY",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986311037",
            "telephone_number": "360-642-4244",
            "fax_number": "360-642-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "360-642-4244",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00003996",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6010664",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4921424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Ferguson
• Teresa Mary Fleck, MA, CCC-SLP
• Cesare Foglia
• Elizabeth D Forbes, PSY.D.
• Steven R Fox
• Amanda Gehrke
• Jeremy Gehrke
• Kenneth Gerow
• Barbara G Glansbeek
• Frank Oliver Glenn IV, MA, LMHC

• Pharmacy in Long Beach, WA
• Providers in Long Beach, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.