NPIMap

Organization Active NPI

Doc Pharmacy Services

  • Pharmacy
  • Centralia, WA
National Provider Identifier
1528439775
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHAR.CF.60488322 Issued in WA
Legal business name
DOC PHARMACY SERVICES
Practice address
20403 Old Highway 9 SW
Centralia, WA 98531-7915
Phone
(360) 664-3400
Fax
(360) 664-3410
NPI assigned
Oct 14, 2015
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WASHINGTON DEPT OF CORRECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Daryl A Huntsinger
Title
Contracts Administrator
Phone
(564) 999-3950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHAR.CF.60488322 WA Primary

Addresses

Primary practice location

20403 Old Highway 9 SW
Centralia, WA 98531-7915

Mailing address

20403 Old Highway 9 SW
Centralia, WA 98531-7915
Phone (360) 664-3400

National Provider Directory

National Provider Directory
Tax ID family
Washington State Department of Corrections Washington Corrections Ce14 organizations share this tax ID, including this one
Part of
Washington State Department of Corrections Washington Corrections Ce

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

20403 Old Highway 9 SW
Centralia, WA 98531
Phone (360) 490-1103

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1528439775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 OLD HIGHWAY 9 SW",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985317915",
            "telephone_number": "360-664-3400",
            "fax_number": "360-664-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 OLD HIGHWAY 9 SW",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985317915",
            "telephone_number": "360-664-3400",
            "fax_number": "360-664-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC PHARMACY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON DEPT OF CORRECTIONS",
        "enumeration_date": "2015-10-14",
        "last_updated": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "HUNTSINGER",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTRACTS ADMINISTRATOR",
        "authorized_official_telephone_number": "564-999-3950"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60488322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.