Active NPI
Spokane Valley Medical, Inc
Doing business as Valley Mission Homecare Pharmacy
- Pharmacy
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- SPOKANE VALLEY MEDICAL, INC
- Doing business as
- Valley Mission Homecare Pharmacy
- Practice address
- 12509 E. Mission Ave
Suite #103
Spokane, WA 99216 - Phone
- (509) 928-6400
- Fax
- (509) 928-6441
- NPI assigned
- May 22, 2017
- Last updated
- Feb 9, 2024
- 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
- David M Redmond, RPH
- Title
- President/Pharmacist
- Phone
- (509) 928-6400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | ||
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
12509 E. Mission Ave
Suite #103
Spokane, WA 99216
Mailing address
12509 E. Mission Ave.
Suite #103
Spokane, WA 99216
Phone (509) 928-6400
Other names 1
- Valley Mission Homecare Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180202000629 | WA | DME Supplier - Pharmacy | 5395005763 | Practice locations: Spokane Valley, WA |
National Provider Directory
National Provider Directory- Tax ID family
- Rhinorx Consulting
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Spokane Valley, WA
- NPI 1609139211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707436800000",
"number": "1629505607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12509 E. MISSION AVE.",
"address_2": "SUITE #103",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99216",
"telephone_number": "509-928-6400",
"fax_number": "509-928-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12509 E. MISSION AVE",
"address_2": "SUITE #103",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99216",
"telephone_number": "509-928-6400",
"fax_number": "509-928-6441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPOKANE VALLEY MEDICAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-22",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A",
"authorized_official_last_name": "REDMOND",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "509-928-6400",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Mission Homecare Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.