Active NPI
Good Health Inc
- Community/Retail Pharmacy
- Mount Vernon, WA
National Provider Identifier
1700907268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHARCF00005440
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001895 | Medicaid | WA | |
| 4917867 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- VALLEY PHARMACY
National Provider Directory
National Provider DirectoryNPI 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.