Organization Active NPI

Medicine Mart Downtown

  • Community/Retail Pharmacy
  • Yakima, WA
National Provider Identifier
1679685580
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICINE MART DOWNTOWN
Practice address
306 E Yakima Ave
Yakima, WA 98901-2721
Phone
(509) 248-9061
Fax
(509) 248-9067
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Robert Murdock
Title
Owner
Phone
(509) 248-9061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CF00002291 WA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

306 E Yakima Ave
Yakima, WA 98901-2721

Mailing address

306 E Yakima Ave
Yakima, WA 98901-2721

Other identifiers 2

IdentifierTypeStateIssuer
4914152OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6138408MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Medicine Mart 4TH Ave2 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.

Locations

306 E Yakima Ave
Yakima, WA 98901
Phone (509) 248-9061

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679685580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E YAKIMA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E YAKIMA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012721",
            "telephone_number": "509-248-9061",
            "fax_number": "509-248-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MART DOWNTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-248-9061"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00002291",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4914152",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6138408",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.