Valley Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60157204 Issued in WA

Legal business name

VALLEY DRUG CO

Practice address

5919 Highway 291 Ste 5
Nine Mile Falls, WA 99026-9525

Phone

(509) 935-8611

Fax

(509) 935-6983

NPI assigned

Jul 7, 2010

Organization subpart

No

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

Authorized official

Name

Kevin Herda

Title

Owner

Phone

(509) 935-8611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Spokane Pharmacy Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Daniel Person, PHARMD

  • Pharmacist
  • Chewelah, WA
  • NPI 1013378520
  NPD (past)
• Nola Vaughan Rasmussen, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Puyallup, WA
  • NPI 1568917797
  NPD (past)

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1407168461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090107",
            "telephone_number": "509-935-8611",
            "fax_number": "509-935-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 HIGHWAY 291 STE 5",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990269525",
            "telephone_number": "509-935-8611",
            "fax_number": "509-935-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "HERDA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-935-8611"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "60157204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4933734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Spokane Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane C Thompson, LMHC
• Yevgeniya Titov, PMHNP
• Lawrence Robert Torgersen, CO60862173
• Zina Trimble, LMT
• Koastyantin Unguryan
• Weeping Ridge Lake Spokane
• Weeping Ridge North, LLC
• Baileigh Whipple
• Marelda M Whitmarsh, ARPN, MN, RN NP-C

• Community/Retail Pharmacy in Nine Mile Falls, WA
• Providers in Nine Mile Falls, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.