Chriselda Gamino

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CHRISELDA GAMINO

Doing business as

Medicine Shoppe

Practice address

1121 W Court St
Pasco, WA 99301-4158

Phone

(509) 547-7537

Fax

(509) 546-2644

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Chriselda Gamino

Title

Owner

Phone

(509) 547-7537

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760594675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014158",
            "telephone_number": "509-547-7537",
            "fax_number": "509-546-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISELDA GAMINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GAMINO",
        "authorized_official_first_name": "CHRISELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-547-7537"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00005096",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6071807",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4913770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Jason Chastain, LICSW
• Jose Chavez
• David Shi Chen, PHARMD
• Henry H Chou, MD
• Valiant W S Chou, MD
• Karen Elizabeth Christian, PHARM D
• Sean Michael Christiansen, RPH
• City of Pasco
• Clarity Point PLLC
• Leslie Clark

• Community/Retail Pharmacy in Pasco, WA
• Providers in Pasco, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.