A & H Stores, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF00005414 Issued in WA

Legal business name

A & H STORES, INC.

Doing business as

Friday Harbor Drug

Practice address

210 Spring St W
Friday Harbor, WA 98250

Phone

(360) 378-4421

Fax

(360) 378-6140

NPI assigned

Feb 28, 2006

Last updated

Mar 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stacey J Hendrickson

Title

General Counsel

Phone

(253) 520-0333

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Friday Harbor Drug Doing business as

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1619943693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25022 104TH AVE SE",
            "address_2": "SUITE E",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302822",
            "telephone_number": "253-520-0333",
            "fax_number": "253-520-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SPRING ST W",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "98250",
            "telephone_number": "360-378-4421",
            "fax_number": "360-378-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & H STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "253-520-0333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00005414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID #",
            "identifier": "600656507",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4903933",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6018733",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friday Harbor Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.