Organization Active NPI

Spokane Valley Medical, Inc

Doing business as Valley Mission Homecare Pharmacy

  • Pharmacy
  • Spokane, WA
National Provider Identifier
1629505607
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
David M Redmond, RPHNPI 1609139211
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180202000629 WA DME Supplier - PharmacyDME Supplier - Orthotic Personnel 5395005763 Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory
Tax ID family
Rhinorx Consulting2 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.