Organization Active NPI

Manhattan Village Pharmacy Inc.

  • Long Term Care Pharmacy
  • Spokane Valley, WA
National Provider Identifier
1306338868
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MANHATTAN VILLAGE PHARMACY INC.
Practice address
10102 E Knox Ave Ste 400
Spokane Valley, WA 99206-4146
Phone
(425) 251-6335
Fax
(425) 251-6337
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Mr. Anderson Shawn Jolly Jr., PH00019615
Title
President
Phone
(425) 251-6335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

10102 E Knox Ave Ste 400
Spokane Valley, WA 99206-4146

Mailing address

PO Box 479
Renton, WA 98057-0479
Phone (425) 251-6335

Other names 1

  • READY MEDS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

10102 E Knox Ave
Ste 400
Spokane Valley, WA 99206
Phone (425) 251-6335

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1306338868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980570479",
            "telephone_number": "425-251-6335",
            "fax_number": "425-251-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 E KNOX AVE STE 400",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064146",
            "telephone_number": "425-251-6335",
            "fax_number": "425-251-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN VILLAGE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-251-6335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH00019615"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "READY MEDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.