Saint-Mark Enterprises 112 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAINT-MARK ENTERPRISES 112 LLC

Doing business as

MEDICINE SHOPPE #112

Practice address

902 W Indiana Ave
Spokane, WA 99205-4508

Phone

(509) 327-1504

Fax

(509) 327-1505

NPI assigned

Mar 3, 2009

Organization subpart

Yes

Parent organization

SAINT-MARK ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Rik R St. Germain, RPH

Title

Owner

Phone

(206) 650-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDICINE SHOPPE #112 Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmin Baskharoon

  • Pharmacist
  • Spokane, WA
  • NPI 1558143891
  NPD (past)
• Nathaniel Lawrence Deering, PHARMD

  • Pharmacist
  • Spokane, WA
  • NPI 1669254900
  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1659511707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VIA PALERMO DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890110824",
            "telephone_number": "206-650-5541",
            "fax_number": "702-568-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054508",
            "telephone_number": "509-327-1504",
            "fax_number": "509-327-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT-MARK ENTERPRISES 112 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT-MARK ENTERPRISES LLC",
        "enumeration_date": "2009-03-03",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "ST. GERMAIN",
        "authorized_official_first_name": "RIK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-650-5541",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6032239",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE #112",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICINE SHOPPE #112",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sagebrush Counseling PLLC
• Genasee Sager
• Meghan Sahlberg
• Shmaumpt Sweetwater Sahme
• Nancy Lee Sailors
• Spencer A Saito, DDS
• Hellen Nashipae Saitoti
• Sandra Sakanovic
• James D Salazar, ARNP
• Lisa Marie Salazar, FNP-BC

• Community/Retail Pharmacy in Spokane, WA
• Providers in Spokane, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.