LJS Furness Drug

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LJS FURNESS DRUG

Practice address

114 Pacific Ave S
Kelso, WA 98626-1699

Phone

(360) 425-3280

Fax

(360) 425-0625

NPI assigned

Aug 9, 2019

Organization subpart

No

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

Authorized official

Name

Jenny M Fjermestad

Title

Manager

Phone

(360) 425-3280

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1710533351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PACIFIC AVE S",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261699",
            "telephone_number": "360-425-3280",
            "fax_number": "360-425-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PACIFIC AVE S",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261699",
            "telephone_number": "360-425-3280",
            "fax_number": "360-425-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJS FURNESS DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "FJERMESTAD",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-425-3280"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005383",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha Lee
• Melissa Lee
• Jamie Lee Lewis, CB61402658
• Erika Liabraaten, BSN, IBCLC
• LJS Furness Drug
• Claudia Loeber
• Amy Lomax
• Kathleen Frances Loney, MS MFT
• Longview Radiologists, P.S. Inc.
• Melody Kay Lorenzo

• Long Term Care Pharmacy in Kelso, WA
• Providers in Kelso, WA by specialty
• Long Term Care Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.