Nyberg Health Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0002778-CS Issued in OR

Legal business name

NYBERG HEALTH ENTERPRISES INC

Doing business as

The Falls Pharmacy

Practice address

8112 Railroad Ave SE
Snoqualmie, WA 98065

Phone

(425) 888-6858

Fax

(425) 888-6870

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Brittney Enemark, PHARMDNPI 1669783742

Title

President

Phone

(425) 888-6858

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• THE FALLS PHARMACY Doing business as

Tax ID family

Nyberg Health Enterprises Inc2 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.

• Nyberg Health Enterprises Inc

  dba Snoqualmie Village Pharmacy

  • Community/Retail Pharmacy
  • Snoqualmie, WA
  • NPI 1457366007
  NPD tax ID

Practitioners 2

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

• Brittney Jean Enemark, PHARMD

  • Pharmacist
  • Seattle, WA
  • NPI 1669783742
  NPD Authorized official
• Katherine Anne Scott

  • Student in an Organized Health Care Education/Training Program
  • Snoqualmie, WA
  • NPI 1760330245
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1699878744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2031",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652031",
            "telephone_number": "425-888-6858",
            "fax_number": "425-888-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 RAILROAD AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "425-888-6858",
            "fax_number": "425-888-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYBERG HEALTH ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "ENEMARK",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-888-6858",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PHARCF00056298",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0002778-CS",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110522",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021695",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FALLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE FALLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Leaf Physical Therapy and Wellness PLLC
• Hema Nirmal, MD
• Northwest Kidney Centers (NKC Snoqualmie Ridge Kidney Center)
• Colyn Nouv, DPM
• Nyberg Health Enterprises Inc (Snoqualmie Village Pharmacy)
• Chinonyelum Blessing Obih, MD
• Miy Yong Obrian, PHARM.D
• Jorge Luis Orozco
• Grace Kay Owen, RN
• Chitralekha Pasupuleti, M.D

• Community/Retail Pharmacy in Snoqualmie, WA
• Providers in Snoqualmie, 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 Feb 25, 2022; 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.