Organization Active NPI

Doctors Tele Pharmacy of Washington 01 LLC

  • Community/Retail Pharmacy
  • Richland, WA
National Provider Identifier
1558025890
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DOCTORS TELE PHARMACY OF WASHINGTON 01 LLC
Practice address
1446 Spaulding Ave
Richland, WA 99352-4720
Phone
(509) 417-0000
Fax
(509) 651-5666
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Authorized official

Name
Reddy Annappareddy
Title
Ceo
Phone
(509) 588-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1446 Spaulding Ave
Richland, WA 99352-4720

Mailing address

1715 W Kennewick Ave
Kennewick, WA 99336-3378
Phone (509) 417-0000

Other names 1

  • DOCTORS TELEPHARMACY OF WASHINGTON Doing business as

National Provider Directory

National Provider Directory

Locations

1715 W Kennewick Ave
Kennewick, WA 99336

1446 Spaulding Ave
Richland, WA 99352
Phone (509) 420-4588

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656115200000",
    "number": "1558025890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363378",
            "telephone_number": "509-417-0000",
            "fax_number": "509-651-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 SPAULDING AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524720",
            "telephone_number": "509-417-0000",
            "fax_number": "509-651-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS TELE PHARMACY OF WASHINGTON 01 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A",
        "authorized_official_last_name": "ANNAPPAREDDY",
        "authorized_official_first_name": "REDDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-588-0000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS TELEPHARMACY OF WASHINGTON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOCTORS TELEPHARMACY OF WASHINGTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; 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.