Elk Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60214219 Issued in WA

Legal business name

ELK DRUG INC

Doing business as

Elk Drug

Practice address

176 E Main St
Dayton, WA 99328-1351

Phone

(509) 382-2536

Fax

(509) 382-2067

NPI assigned

Sep 13, 2006

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean ThurstonNPI 1699021782

Title

Ceo/Owner/Pic

Phone

(509) 382-2536

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Elk Drug Doing business as

Tax ID family

Elk Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elk Drug Inc

  • Long Term Care Pharmacy
  • Dayton, WA
  • NPI 1952877136
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Dyce Thurston, PHARMD

  • Pharmacist
  • Dayton, WA
  • NPI 1699021782
  NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1760586267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281351",
            "telephone_number": "509-382-2536",
            "fax_number": "509-382-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281351",
            "telephone_number": "509-382-2536",
            "fax_number": "509-382-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO/OWNER/PIC",
        "authorized_official_telephone_number": "509-382-2536"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60214219",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Faith Derr, PA-C
• Dr. Millgard
• Kenneth Dyball, PAC
• Richard G Edison, PA-C
• Laurence A Eidt, M.D.
• Elk Drug Inc
• Kim Irene Emery, PA-C
• Michael Lee Ettner, MD
• Racheal Fletcher
• Kurt E Frauenpreis, MD

• Community/Retail Pharmacy in Dayton, WA
• Providers in Dayton, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.