Organization Active NPI

Bates Drug Stores Inc.

  • Legal Medicine
  • Spokane, WA
National Provider Identifier
1548261068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
CF00057208 Issued in WA
Legal business name
BATES DRUG STORES INC.
Practice address
3704 N Nevada St
Spokane, WA 99207-2968
Phone
(509) 489-4500
Fax
(509) 489-4330
NPI assigned
Aug 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Thomas Cordier
Title
Ceo
Phone
(509) 489-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X CF00057208 WA Primary

Addresses

Primary practice location

3704 N Nevada St
Spokane, WA 99207-2968

Mailing address

3704 N Nevada St
Spokane, WA 99207-2968
Phone (509) 489-4500

Other identifiers 3

IdentifierTypeStateIssuer
6088801MedicaidWA
CF00057208OtherWARETAIL PHARMACY LICENSE
FLOOO5793OtherWAPHARMACY LIESENCE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Bates Drug Stores4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548261068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072968",
            "telephone_number": "509-489-4500",
            "fax_number": "509-489-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072968",
            "telephone_number": "509-489-4500",
            "fax_number": "509-489-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATES DRUG STORES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-489-4500"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "CF00057208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6088801",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY LICENSE",
            "identifier": "CF00057208",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LIESENCE NUMBER",
            "identifier": "FLOOO5793",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.