Organization Active NPI

Good Health Inc

  • Community/Retail Pharmacy
  • Mount Vernon, WA
National Provider Identifier
1700907268
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF00005440 Issued in WA
Legal business name
GOOD HEALTH INC
Practice address
221 S 1St St
Mount Vernon, WA 98273-3802
Phone
(360) 336-9658
Fax
(360) 336-9659
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Monte Levaque, RPH
Title
Owner
Phone
(360) 336-9658

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHARCF00005440 WA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

221 S 1St St
Mount Vernon, WA 98273-3802

Mailing address

221 S 1St St
Mount Vernon, WA 98273-3802
Phone (360) 336-9658

Other identifiers 2

IdentifierTypeStateIssuer
6001895MedicaidWA
4917867OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • VALLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1700907268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 1ST ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733802",
            "telephone_number": "360-336-9658",
            "fax_number": "360-336-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 1ST ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733802",
            "telephone_number": "360-336-9658",
            "fax_number": "360-336-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "LEVAQUE",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-336-9658",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF00005440",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001895",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4917867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.