Organization Active NPI

A W S Inc

Doing business as Cedar Village Pharmacy

  • Community/Retail Pharmacy
  • Winlock, WA
National Provider Identifier
1356481097
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
A W S INC
Doing business as
Cedar Village Pharmacy
Practice address
206 E Walnut St
Winlock, WA 98596-9419
Phone
(360) 785-4711
Fax
(360) 785-3109
NPI assigned
Feb 8, 2007
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Raleigh Gene Stone
Title
Owner
Phone
(360) 785-4610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 600298836 WA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

206 E Walnut St
Winlock, WA 98596-9419

Mailing address

206 E Walnut St
PO Box 536
Winlock, WA 98596-9419
Phone (360) 785-4711

Other identifiers 1

IdentifierTypeStateIssuer
6014062MedicaidWA

Other names 2

  • Cedar Village Pharmacy Doing business as
  • A W S Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251125000233 WA Part B Supplier - Mass Immunization (Roster Biller Only) 1951893288 Practice locations: Winlock, WA

National Provider Directory

National Provider Directory

Locations

206 E Walnut St
Winlock, WA 98596
Phone (360) 785-4711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1356481097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E WALNUT ST",
            "address_2": "PO BOX 536",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969419",
            "telephone_number": "360-785-4711",
            "fax_number": "360-785-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E WALNUT ST",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969419",
            "telephone_number": "360-785-4711",
            "fax_number": "360-785-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A W S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "RALEIGH",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-785-4610"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "600298836",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6014062",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A W S Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winlock, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.

Verify at the official NPI Registry.