Lake Chelan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00002140 Issued in WA

Legal business name

LAKE CHELAN PHARMACY INC

Practice address

223 E Johnson Ave
Chelan, WA 98816

Phone

(509) 682-2751

Fax

(509) 682-5933

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Paul Volkmann, RPH

Title

Owner

Phone

(509) 682-2751

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LAKE CHELAN PHARMACY INC Doing business as

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1285737320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX E",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988160107",
            "telephone_number": "509-682-2751",
            "fax_number": "509-682-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E JOHNSON AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "98816",
            "telephone_number": "509-682-2751",
            "fax_number": "509-682-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHELAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "VOLKMANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-682-2751",
        "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": "CF00002140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6150601",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE CHELAN PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Celeste Klingner, M.D.
• John A Kremer II, M.D.
• Lina Andromeda Kurlis, PSYD
• Lake Chelan Clinic, P.C.
• Lake Chelan Clinic, P.C.
• Lake Chelan Physical Therapy, PS
• Lake Chelan School District
• Lakeland Chiropractic Clinic Inc
• Lakeside Baby LLC
• Brooke Rose Lane, LMT

• Community/Retail Pharmacy in Chelan, WA
• Providers in Chelan, 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 Feb 21, 2017; 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.