Battle Ground Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00001829 Issued in WA

Legal business name

BATTLE GROUND PHARMACY INC

Practice address

717 W Main St
Battle Ground, WA 98604-4479

Phone

(360) 687-3128

Fax

(360) 687-3129

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

E Darrell Rafferty, RPH

Title

President

Phone

(360) 687-3128

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BATTLE GROUND PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1275664377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986040489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W MAIN ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044479",
            "telephone_number": "360-687-3128",
            "fax_number": "360-687-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE GROUND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "E DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-687-3128",
        "authorized_official_credential": "RPH"
    },
    "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": "CF00001829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6018105",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4901078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATTLE GROUND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.