North Pines Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00003805 Issued in WA

Legal business name

NORTH PINES PHARMACY INC

Practice address

12414 E Sprague Ave
Spokane Valley, WA 99216-0722

Phone

(509) 924-1222

Fax

(509) 922-6411

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

John Antich, RPH

Title

RPH/Owner

Phone

(509) 924-1222

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Practitioners 3

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

• Kevin James Kelly, PHARMD

  • Pharmacist
  • Spokane Valley, WA
  • NPI 1336714104
  NPD (past)
• Joyce E Schroeder

  • Pharmacist
  • Spokane Valley, WA
  • NPI 1114362225
  NPD (past)
• Kyndra Wevers, PHARMD

  • Pharmacist
  • Spokane Valley, WA
  • NPI 1639551534
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1497827299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12414 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160722",
            "telephone_number": "509-924-1222",
            "fax_number": "509-922-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PINES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "ANTICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "509-924-1222",
        "authorized_official_credential": "RPH"
    },
    "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": "CF00003805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4915243",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6119804",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Denton Nordin, MD
• Georgia N Norg, MA 60942837
• Douglas G Norquist, M.D.
• North Pines Chiropractic PS
• North Pines Family Medicine Inc
• Northeast Washington Home Health, Inc.
• Northwest Eyecare & Laser Center, P.S
• Northwest Health Summit, PS
• Northwest Home Medical Inc
• Northwest Orthopaedic Specialists, P.S.

• Community/Retail Pharmacy in Spokane Valley, WA
• Providers in Spokane Valley, 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 Sep 29, 2008; 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.