Halls Drug Center Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

211003611 Issued in WA

Legal business name

HALLS DRUG CENTER INC

Practice address

505 S Tower Ave
Suite 2
Centralia, WA 98531-3919

Phone

(360) 736-0703

Fax

(360) 736-8489

NPI assigned

Dec 13, 2006

Organization subpart

Yes

Parent organization

HALLS DRUG CENTER INCAs reported in NPPES

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

Authorized official

Name

Mr. Warren A Hall, RPH

Title

Owner/President

Phone

(360) 607-8757

Specialties & licenses 3

Addresses

Other identifiers 4

Part of

Halls Drug Center Inc

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1770644353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S TOWER AVE",
            "address_2": "SUITE 2",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313919",
            "telephone_number": "360-736-0703",
            "fax_number": "360-736-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S TOWER AVE",
            "address_2": "SUITE 2",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985313919",
            "telephone_number": "360-736-0703",
            "fax_number": "360-736-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLS DRUG CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALLS DRUG CENTER INC",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-607-8757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "211003611",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "211003611",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "211003611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9034851",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9049669",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018653",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6012504",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna E Haller, LMP
• Halls Drug Center Inc
• Halls Drug Center Inc
• Halls Drug Center Inc
• Halls Drug Center Inc
• Halls Drug Center Inc
• Halls Drug Center Inc.
• Carolyn Rose Ham, PTA
• Nancy E Hamilton, P.T.
• Naomi Jean Hamilton

• Customized Equipment (DME) in Centralia, WA
• Providers in Centralia, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.