NPIMap

Organization Active NPI

Saratoga Enterprises Inc

  • Community/Retail Pharmacy
  • Freeland, WA
National Provider Identifier
1366514879
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF00055856 Issued in WA
Legal business name
SARATOGA ENTERPRISES INC
Practice address
1609 E Main St
Freeland, WA 98249
Phone
(360) 331-4700
Fax
(360) 331-4702
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Eric Stallman, BS PHARM
Title
Responsible Manager
Phone
(360) 331-4858

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHARCF00055856 WA Primary

Addresses

Primary practice location

1609 E Main St
Freeland, WA 98249

Mailing address

PO Box 99
Freeland, WA 98249-0099

Other identifiers 2

IdentifierTypeStateIssuer
6020416MedicaidWA
4913009OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LINDS FREELAND PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Langley Drug4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1366514879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982490099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E MAIN ST",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "98249",
            "telephone_number": "360-331-4700",
            "fax_number": "360-331-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "STALLMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "RESPONSIBLE MANAGER",
        "authorized_official_telephone_number": "360-331-4858",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF00055856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6020416",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4913009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINDS FREELAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.