Kelso Drug Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF00002494 Issued in WA

Legal business name

KELSO DRUG CO

Practice address

204 S Pacific Ave
Kelso, WA 98626-1618

Phone

(360) 423-2220

Fax

(360) 425-1940

NPI assigned

Feb 13, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James HollingsworthNPI 1922088723

Title

Owner

Phone

(360) 423-2220

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• James Bevan Hollingsworth, RPH

  • Pharmacist
  • Kelso, WA
  • NPI 1922088723
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1427190776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986260002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S PACIFIC AVE",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261618",
            "telephone_number": "360-423-2220",
            "fax_number": "360-425-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSO DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-423-2220"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00002494",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4904199",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Allyse Jones, CCC-SLP
• Briana Joseph
• Robert Patrick Kalal, RPH
• Jamie L Keener, RN
• Kelso Al, LLC
• Kelso School District
• Colleen M Kennedy
• Paul Travis Kern, CDAC
• Elena V Khorosheva-Brown, LPN, GEM-STONE THERA
• Danny Barton Kilgore, LPN

• Pharmacy in Kelso, WA
• Providers in Kelso, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.