NPIMap

Organization Active NPI

Lourdes West Pasco Pharmacy

  • Clinic Pharmacy
  • Pasco, WA
National Provider Identifier
1326472234
Registry record updated Aug 27, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
LOURDES WEST PASCO PHARMACY
Practice address
7425 Wrigley Dr Ste 104
Pasco, WA 99301-5292
Phone
(509) 546-8388
NPI assigned
Aug 27, 2013
Organization subpart
Yes
Parent organization
OUR LADY OF LOURDES HOSPITAL AT PASCOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Tracy Sue Clark, PHARMD
Title
Director of Pharmacy
Phone
(509) 546-2298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 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

National Provider Directory

National Provider Directory
Tax ID family
CBHC20 organizations share this tax ID, including this one
Part of
CBHC

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1326472234",
    "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 WEST PASCO PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF LOURDES HOSPITAL AT PASCO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "509-546-2298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 27, 2013; 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.