Sids Professional Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

CF.60065572 Issued in WA

Legal business name

SIDS PROFESSIONAL PHARMACY

Practice address

825 SE Bishop Blvd Ste 301B
Pullman, WA 99163-5517

Phone

(509) 332-4608

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Sidney Pierson

Title

Pharmasist

Phone

(509) 332-4608

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SID'S LTC PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1780824474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 301B",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-332-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 301B",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-332-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDS PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PHARMASIST",
        "authorized_official_telephone_number": "509-332-4608"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "CF.60065572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4933481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SID'S LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Chelsea J Shors, OTD, OTR/L
• Liana Faire Shull, LCSW
• Troy Sibbett, CRNA
• Caroline Silberglitt
• Rachel C Silva-Bischoff, RN
• Kendyl Simmons
• Dennis L Simpson, M.D.
• Angeline Elizabeth Smith, ARNP

• Long Term Care Pharmacy in Pullman, WA
• Providers in Pullman, WA by specialty
• Long Term Care Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.