Active NPI
Vancouver Clinic Inc
Doing business as THE VANCOUVER CLINIC PHARMACY Columbia Technology Center
- Community/Retail Pharmacy
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHAR.CF.00057948
- Legal business name
- VANCOUVER CLINIC INC
- Doing business as
- THE VANCOUVER CLINIC PHARMACY Columbia Technology Center
- Practice address
- 501 SE 172ND Ave Ste 120
Vancouver, WA 98684-9542 - Phone
- (360) 397-3602
- Fax
- (360) 604-1791
- NPI assigned
- Feb 21, 2007
- Last updated
- Dec 13, 2016
- 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
- Larissa Morrow
- Title
- Pharmacy Manager
- Phone
- (360) 397-3314
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHAR.CF.00057948 | WA | Primary |
Addresses
Primary practice location
501 SE 172ND Ave Ste 120
Vancouver, WA 98684-9542
Mailing address
501 SE 172ND Ave Ste 120
Vancouver, WA 98684-9542
Phone (360) 397-3602
Other names 1
- THE VANCOUVER CLINIC PHARMACY Columbia Technology Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2140339 | The Vancouver Clinic - CTC | Compliance | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Daniel J Highkin
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1619149960
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
-
dba The Vancouver Clinic
- Eyewear Supplier
- Vancouver, WA
- NPI 1790237212
-
dba Vancouver Clinic Pharmacy Salmon Creek
- Community/Retail Pharmacy
- Vancouver, WA
- NPI 1124063367
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.
-
- Pharmacist
- Vancouver, WA
- NPI 1780930982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481587200000",
"number": "1376688903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SE 172ND AVE STE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986849542",
"telephone_number": "360-397-3602",
"fax_number": "360-604-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SE 172ND AVE STE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986849542",
"telephone_number": "360-397-3602",
"fax_number": "360-604-1791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANCOUVER CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2016-12-13",
"status": "A",
"authorized_official_last_name": "MORROW",
"authorized_official_first_name": "LARISSA",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "360-397-3314"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "PHAR.CF.00057948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE VANCOUVER CLINIC PHARMACY Columbia Technology Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, WA
- Vancouver Center for General and Cosmetic Dentistry (New Leaf Dental Care)
- Vancouver Chiropractic
- Vancouver Chiropractic Group (Northwest Pain Institute)
- Vancouver Chiropractic Inc.
- Vancouver Clinic Inc (Vancouver Clinic Pharmacy Salmon Creek)
- Vancouver Clinical Services PC
- Vancouver Community Midwives, PLLC
- Vancouver Contact Lens & Vision Clinic Inc
- Vancouver Counseling Associates, LLC
- Vancouver Counseling Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.