NPIMap

Organization Active NPI

River Village Pharmacy

  • Long Term Care Pharmacy
  • Yakima, WA
National Provider Identifier
1477632156
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHAR.CF.60320638 Issued in WA
Legal business name
RIVER VILLAGE PHARMACY
Practice address
3708 Tieton Dr # a
Yakima, WA 98902-3664
Phone
(509) 469-3198
Fax
(509) 469-3205
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Phil Luther
Title
Owner
Phone
(509) 469-3198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHAR.CF.60320638 WA Primary

Addresses

Primary practice location

3708 Tieton Dr # a
Yakima, WA 98902-3664

Mailing address

3708 Tieton Dr
Yakima, WA 98902-3664
Phone (509) 469-3198

Other identifiers 2

IdentifierTypeStateIssuer
2107472OtherPK
6026025MedicaidWA

Other names 1

  • RIVER VILLAGE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tieton Village Drug5 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.

Locations

3708 Tieton Dr
#A
Yakima, WA 98902
Phone (509) 469-3198

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1477632156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023664",
            "telephone_number": "509-469-3198",
            "fax_number": "509-469-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 TIETON DR # A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023664",
            "telephone_number": "509-469-3198",
            "fax_number": "509-469-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-469-3198"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60320638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107472",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6026025",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.