Granite Drugs, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF00057675 Issued in WA

Legal business name

GRANITE DRUGS, LLC

Doing business as

Pharm-A-Save Granite Falls

Practice address

207 E Stanley St # a
Granite Falls, WA 98252-8480

Phone

(360) 691-7778

Fax

(360) 691-4458

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Kari VanderhouwenNPI 1407959885

Title

Managing Member

Phone

(206) 915-7888

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pharm-A-Save Granite Falls Doing business as

Medicare fee-for-service enrollment

Enrolled in WA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kari Lynn Vanderhouwen, RPH

  • Pharmacist
  • Duvall, WA
  • NPI 1407959885
  NPD Authorized official
• Jacqueline Rogers, PHARMD

  • Pharmacist
  • Granite Falls, WA
  • NPI 1497004014
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1699764399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E STANLEY ST STE A",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528480",
            "telephone_number": "360-691-7778",
            "fax_number": "360-691-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E STANLEY ST # A",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528480",
            "telephone_number": "360-691-7778",
            "fax_number": "360-691-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "VANDERHOUWEN",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "206-915-7888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00057675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4915712",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003305",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharm-A-Save Granite Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Garrett
• Rebecka Goranson
• John G Gordon, RPH
• David Gore, DDS
• Holly L Gramse, PT
• Granite Falls Community Chiropractic PLLC
• Granite Falls School District
• Sadie Mae Hollingsworth
• Barbara Ann Houser, L.M.P.
• Julie L Husby, RPH

• Pharmacy in Granite Falls, WA
• Providers in Granite Falls, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.