Fountain Drug and Variety Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00002219 Issued in WA

Legal business name

FOUNTAIN DRUG AND VARIETY INC

Doing business as

Fountain Drug

Practice address

2416 Meridian St
Bellingham, WA 98225-2405

Phone

(360) 733-6200

Fax

(360) 671-4644

NPI assigned

Feb 15, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Coudriet

Title

Pharmacist and Technician

Phone

(360) 733-6200

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• FOUNTAIN DRUG Doing business as

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1699818757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 MERIDIAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 MERIDIAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252405",
            "telephone_number": "360-733-6200",
            "fax_number": "360-671-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN DRUG AND VARIETY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "COUDRIET",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHARMACIST AND TECHNICIAN",
        "authorized_official_telephone_number": "360-733-6200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00002219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003784",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4902296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4902296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Lorraine Foster, LAC
• Kate Foster, RN
• Mackenzie Foster
• Rosemary C Foster, L.M.P.
• Vince Foster, PHD
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• Fourth Corner Neurosurgical Associates Inc PS (Cascade Outpatient Spine Center)
• Megan Marie Fowler, CDP
• William Charles Fowler, SUDPT
• Jennifer Robin Fowles

• Community/Retail Pharmacy in Bellingham, WA
• Providers in Bellingham, 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 Jul 20, 2007; 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.