Active NPI
Rebecca Megan McCoy, PHARM.D.
- Pharmacist
- Walla Walla, WA
National Provider Identifier
1740519636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00069485
- Practice address
- 633 W Tietan St
Walla Walla, WA 99362-4329 - Phone
- (509) 240-8103
- Fax
- (509) 529-5283
- NPI assigned
- Dec 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00069485 | WA | Primary |
Addresses
Primary practice location
633 W Tietan St
Walla Walla, WA 99362-4329
Mailing address
1600 Plaza Way
Walla Walla, WA 99362-4325
Phone (509) 522-4672
Other practice location 1
1600 Plaza Way
Walla Walla, WA 99362-4325
Phone (509) 522-4672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00069485 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Walla Walla, WA
- NPI 1518993393
-
- Pharmacy
- Walla Walla, WA
- NPI 1407949068
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1740519636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PLAZA WAY",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624325",
"telephone_number": "509-522-4672",
"fax_number": "509-525-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 W TIETAN ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624329",
"telephone_number": "509-240-8103",
"fax_number": "509-529-5283"
}
],
"practiceLocations": [
{
"address_1": "1600 Plaza Way",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993624325",
"country_code": "US",
"telephone_number": "509-522-4672",
"fax_number": "509-525-8985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "REBECCA",
"middle_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00069485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.