Organization Active NPI

RJJ Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Walla Walla, WA
National Provider Identifier
1730273046
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RJJ INC
Doing business as
Medicine Shoppe
Practice address
25 S Colville St
Walla Walla, WA 99362-1919
Phone
(509) 525-4800
Fax
(509) 526-3707
NPI assigned
Oct 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ron Becker
Title
Owner Pharmacist
Phone
(509) 525-4800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4243 WA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

25 S Colville St
Walla Walla, WA 99362-1919

Mailing address

25 S Colville St
Walla Walla, WA 99362-1919

Other identifiers 3

IdentifierTypeStateIssuer
4911322OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6064109MedicaidWA
9028531MedicaidWA

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

25 S Colville St
Walla Walla, WA 99362
Phone (509) 525-4800

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730273046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S COLVILLE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S COLVILLE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621919",
            "telephone_number": "509-525-4800",
            "fax_number": "509-526-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "509-525-4800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "4243",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4911322",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6064109",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9028531",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.