Active NPI
Herbert Bohner, RPH
- Pharmacist
- Clarkston, WA
National Provider Identifier
1477826253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61359057
- Practice address
- 306 5TH St
Clarkston, WA 99403-1860 - Phone
- (509) 758-6660
- Fax
- (509) 758-9461
- NPI assigned
- Feb 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61359057 | WA | Primary |
Addresses
Primary practice location
306 5TH St
Clarkston, WA 99403-1860
Mailing address
4440 Holden LN
Lewiston, ID 83501-6256
Phone (541) 729-0651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10031 | Other | ID | STATE PHARMACIST LICENSE |
| PH61359057 | Other | WA | STATE PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61359057 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1477826253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 HOLDEN LN",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835016256",
"telephone_number": "541-729-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 5TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994031860",
"telephone_number": "509-758-6660",
"fax_number": "509-758-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNER",
"first_name": "HERBERT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-09",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61359057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "P10031",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "PH61359057",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.