Organization Active NPI

1918 Winter Street Operating Co LLC

  • Community/Retail Pharmacy
  • Vancouver, WA
National Provider Identifier
1609647692
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
1918 WINTER STREET OPERATING CO LLC
Practice address
13023 NE Highway 99
Vancouver, WA 98686-2767
Phone
(360) 566-7986
Fax
(360) 566-7988
NPI assigned
Jan 10, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kevin McNamara
Title
Authorized Person
Phone
(603) 354-4619

Corporate family (same tax ID) 24

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

National Provider Directory

National Provider Directory
Tax ID family
1918 Winter Street Operating Co LLC (496 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

13023 NE Highway 99
Vancouver, WA 98686-2767

Mailing address

7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000

Other names 1

NPPES NPI Registry
  • SAFEWAY PHARMACY #1842 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2024.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1609647692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORPORATE DR",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034315042",
            "telephone_number": "603-354-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862767",
            "telephone_number": "360-566-7986",
            "fax_number": "360-566-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1918 WINTER STREET OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-07-24",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "603-354-4619"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #1842",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.