Active NPI
Valu Drug Inc.
- Pharmacist
- Montesano, WA
National Provider Identifier
1366443921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010594
- Legal business name
- VALU DRUG INC.
- Practice address
- 201 E Pioneer Ave
Montesano, WA 98563-4514 - Phone
- (360) 249-4444
- NPI assigned
- Aug 4, 2005
- 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. Charles Mark Sagen, RPH.
- Title
- Owner/Pharmacist
- Phone
- (360) 249-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00010594 | WA | Primary |
Addresses
Primary practice location
201 E Pioneer Ave
Montesano, WA 98563-4514
Mailing address
201 E Pioneer Ave
Montesano, WA 98563-4514
Phone (360) 249-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6149306 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366443921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E PIONEER AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985634514",
"telephone_number": "360-249-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E PIONEER AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985634514",
"telephone_number": "360-249-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALU DRUG INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAGEN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "360-249-4444",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6149306",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.