Active NPI
Lourdes Hospital LLC
- Community/Retail Pharmacy
- Pasco, WA
National Provider Identifier
1295207934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LOURDES HOSPITAL LLC
- Doing business as
- Lourdes West Pasco Pharmacy
- Practice address
- 7425 Wrigley Dr Ste 104
Pasco, WA 99301-5292 - Phone
- (509) 546-8388
- NPI assigned
- Dec 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte E Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
7425 Wrigley Dr Ste 104
Pasco, WA 99301-5292
Mailing address
7425 Wrigley Dr Ste 104
Pasco, WA 99301-5292
Phone (509) 546-8388
Other names 1
- Lourdes West Pasco Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190321002351 | WA | Part B Supplier - Pharmacy | 1850642562 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Richland, WA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Lourdes Hospital LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Richland, WA
- NPI 1124590864
-
- Psychiatric Hospital
- Richland, WA
- NPI 1548342181
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
-
- Pharmacy
- Pasco, WA
- NPI 1891280459
-
- Medicare Defined Swing Bed Hospital Unit
- Pasco, WA
- NPI 1982461984
Locations
7425 Wrigley Dr
Ste 104
Pasco, WA 99301
Phone (509) 546-8388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708128000000",
"number": "1295207934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7425 WRIGLEY DR STE 104",
"city": "PASCO",
"state": "WA",
"postal_code": "993015292",
"telephone_number": "509-546-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 WRIGLEY DR STE 104",
"city": "PASCO",
"state": "WA",
"postal_code": "993015292",
"telephone_number": "509-546-8388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOURDES HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-19",
"last_updated": "2024-02-17",
"certification_date": "2024-02-17",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lourdes West Pasco Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lourdes West Pasco Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.