Neils Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF00001655 Issued in WA

Legal business name

NEILS PHARMACY INC

Practice address

512 West Franklin
Shelton, WA 98584

Phone

(360) 426-3327

Fax

(360) 427-5223

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Albert C Legault

Title

Owner/President

Phone

(360) 426-3327

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neils Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Carol Roadruck, RPH

  • Pharmacist
  • Shelton, WA
  • NPI 1932294758
  NPD (past)
• Andrew Thibeault, PHARMD

  • Pharmacist
  • Shelton, WA
  • NPI 1427555697
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1285729012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 WEST FRANKLIN",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-426-3327",
            "fax_number": "360-427-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WEST FRANKLIN",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-426-3327",
            "fax_number": "360-427-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEILS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "LEGAULT",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-426-3327",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00001655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6136006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neils Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Scott Myers, PA-C
• Rebecca Myers
• Naturally Blooming
• Margaret M Nebiolni, LPN
• Chelsea Nicole Neff
• Diva Kainoa Nelson Brown, LMP
• Brittney Anne Nelson
• Cindy Nelson, LAC
• Eric Robert Nelson, CAAR
• Jennifer A Nelson, ARNP

• Pharmacy in Shelton, WA
• Providers in Shelton, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.