NPIMap

Organization Active NPI

Halls Drug Center Inc

Doing business as Halls Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Centralia, WA
National Provider Identifier
1396838512
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00057531 Issued in WA
Legal business name
HALLS DRUG CENTER INC
Doing business as
Halls Medical Center Pharmacy
Practice address
1805 Cooks Hill Rd
Centralia, WA 98531-9072
Phone
(360) 736-3301
Fax
(360) 736-3494
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Warren Hall
Title
Owner
Phone
(360) 736-3301

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X CF00057531 WA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1805 Cooks Hill Rd
Centralia, WA 98531-9072

Mailing address

505 S Tower Ave Ste 2
Centralia, WA 98531-3919
Phone (360) 736-3301

Other identifiers 2

IdentifierTypeStateIssuer
6012504MedicaidWA
4916459OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HALLS MEDICAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Halls Drug Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1396838512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S TOWER AVE STE 2",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313919",
            "telephone_number": "360-736-3301",
            "fax_number": "360-736-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319072",
            "telephone_number": "360-736-3301",
            "fax_number": "360-736-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLS DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-736-3301"
    },
    "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": "CF00057531",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6012504",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4916459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLS MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.