NPIMap

Organization Active NPI

Saratoga Enterprises Inc

Doing business as Linds Coupeville Pharmacy

  • Pharmacy
  • Coupeville, WA
National Provider Identifier
1659446235
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SARATOGA ENTERPRISES INC
Doing business as
Linds Coupeville Pharmacy
Practice address
40 N Main St
Coupeville, WA 98239-9556
Phone
(360) 678-4010
Fax
(360) 678-2075
NPI assigned
Nov 21, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Katherine Stallman, BSPHARMNPI 1669860664
Title
Pharmacist in Charge
Phone
(360) 221-0211

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X CF00057687 WA
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

40 N Main St
Coupeville, WA 98239-9556

Mailing address

PO Box 70
Coupeville, WA 98239-0070
Phone (360) 678-4010

Other identifiers 2

IdentifierTypeStateIssuer
4903173OtherNCPDP PROVIDER IDENTIFICATION NUMBER
6030951MedicaidWA

Other names 1

  • LINDS COUPEVILLE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Langley Drug4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1659446235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390070",
            "telephone_number": "360-678-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399556",
            "telephone_number": "360-678-4010",
            "fax_number": "360-678-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "STALLMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "360-221-0211",
        "authorized_official_credential": "BSPHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057687",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4903173",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6030951",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINDS COUPEVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.