Active NPI
Town and Country Market Inc
- Pharmacist
- Poulsbo, WA
National Provider Identifier
1346465713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- CF00005216
- Legal business name
- TOWN AND COUNTRY MARKET INC
- Practice address
- 20148 10TH Ave NE
Poulsbo, WA 98370-7372 - Phone
- (360) 779-5335
- Fax
- (360) 779-4099
- NPI assigned
- Apr 13, 2007
- 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
- Mr. David Koehmstedt, BS
- Title
- Pharmacy MGR
- Phone
- (360) 779-5335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | CF00005216 | WA | Primary |
Addresses
Primary practice location
20148 10TH Ave NE
Poulsbo, WA 98370-7372
Mailing address
20148 10TH Ave NE
Poulsbo, WA 98370-7372
Phone (360) 779-5335
National Provider Directory
National Provider DirectoryLocations
20148 10th Ave NE
Poulsbo, WA 98370
Phone (360) 779-5335
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Poulsbo, WA
- NPI 1538616941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287964800000",
"number": "1346465713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20148 10TH AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707372",
"telephone_number": "360-779-5335",
"fax_number": "360-779-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20148 10TH AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707372",
"telephone_number": "360-779-5335",
"fax_number": "360-779-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN AND COUNTRY MARKET INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2010-10-25",
"status": "A",
"authorized_official_last_name": "KOEHMSTEDT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PHARMACY MGR",
"authorized_official_telephone_number": "360-779-5335",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WA",
"license": "CF00005216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.