Organization Active NPI

Town and Country Market Inc

  • Pharmacist
  • Poulsbo, WA
National Provider Identifier
1346465713
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
CF00005216 Issued in WA
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

Updated by the provider on Oct 25, 2010

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.