Active NPI
Parkhill Pharmacy, Inc.
- Community/Retail Pharmacy
- Lopez Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PARKHILL PHARMACY, INC.
- Doing business as
- Lopez Island Pharmacy
- Practice address
- 352 Lopez Road
Lopez Island, WA 98261-0190 - Phone
- (360) 468-2616
- Fax
- (360) 468-3825
- NPI assigned
- May 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard C McCoy Jr., R.PH.
- Title
- Pharmacist
- Phone
- (360) 468-2616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 5102 | WA | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
352 Lopez Road
Lopez Island, WA 98261-0190
Mailing address
PO Box 190
Lopez Island, WA 98261-0190
Phone (360) 468-2616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6014880 | Medicaid | WA | |
| G8912458 | Other | WA | MEDICARE MASS IMMUNIZATION ROSTER BILLING |
Other names 1
- Lopez Island Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930013517 | WA | DME Supplier - Pharmacy | 7911024633 | Practice locations: Lopez Island, WA |
| O20121025000278 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911024633 | Practice locations: Lopez Island, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2250803 | Lopez Island Pharmacy | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Parkhill Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lopez Island, WA
- NPI 1952160616
Locations
157 Village Rd
Lopez Island, WA 98261
Phone (360) 468-2616
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lopez Island, WA
- NPI 1336142967
-
- Pharmacist
- Lopez Island, WA
- NPI 1245233873
-
- Pharmacist
- Lopez Island, WA
- NPI 1730095878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588032000000",
"number": "1629071493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "LOPEZ ISLAND",
"state": "WA",
"postal_code": "982610190",
"telephone_number": "360-468-2616",
"fax_number": "360-468-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 LOPEZ ROAD",
"city": "LOPEZ ISLAND",
"state": "WA",
"postal_code": "982610190",
"telephone_number": "360-468-2616",
"fax_number": "360-468-3825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKHILL PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "360-468-2616",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "5102",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6014880",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MASS IMMUNIZATION ROSTER BILLING",
"identifier": "G8912458",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lopez Island Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lopez Island Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lopez Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.