Our Lady of Lourdes Health Center

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

PHAR.CF.6048122 Issued in WA

Legal business name

OUR LADY OF LOURDES HEALTH CENTER

Doing business as

Lourdes Counseling Center Pharmacy

Practice address

1175 Carondelet Dr
Attn: Pharmacy
Richland, WA 99354-3300

Phone

(509) 946-7108

Fax

(509) 543-2414

NPI assigned

Feb 22, 2016

Last updated

Jul 20, 2016By 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

Tracy Clark

Title

Pic/Director of Pharmacy

Phone

(509) 546-2298

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lourdes Counseling Center Pharmacy Doing business as

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1700245511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: PHARMACY",
            "address_2": "1175 CARONDELET DRIVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99354",
            "telephone_number": "509-946-7108",
            "fax_number": "509-543-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CARONDELET DR",
            "address_2": "ATTN: PHARMACY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543300",
            "telephone_number": "509-946-7108",
            "fax_number": "509-543-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PIC/DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "509-546-2298"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.6048122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Counseling Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn Lee Ostler, D.D.S.
• M Scott Ostler, DDS, MSD
• Hannah Cosette Ostrowsky
• Our Lady of Lourdes Health Center (Lourdes Counseling Center)
• Our Lady of Lourdes Health Center (Lourdes Chemical Dependency Unit)
• Our Lady of Lourdes Heath Center (Lourdes Columbia Point)
• Our Lady of Lourdes Hospital at Pasco (Lourdes Counseling Center)
• Our Lady of Lourdes Hospital at Pasco (LOURDES COUNSELING CENTER Adult Day Program)
• Our Lady of Lourdes Hospital at Pasco (LOURDES COUNSELING CENTER Adolescent Day Program)
• Kimberly Overman, LMT

• Institutional Pharmacy in Richland, WA
• Providers in Richland, WA by specialty
• Institutional Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.