Active NPI
Whole Health Pharmacy LLC
- Community/Retail Pharmacy
- Ellensburg, WA
National Provider Identifier
1790242576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WHOLE HEALTH PHARMACY LLC
- Practice address
- 800 S Pearl St Ste 1
Ellensburg, WA 98926-3655 - Phone
- (509) 925-6800
- NPI assigned
- Feb 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Scheffelmaier, PHARM.D
- Title
- Owner/Pharmacist
- Phone
- (509) 607-1370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
800 S Pearl St Ste 1
Ellensburg, WA 98926-3655
Mailing address
800 S Pearl St Ste 1
Ellensburg, WA 98926-3646
Phone (509) 925-6800
Other names 1
- Whole Health Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190624002249 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850625955 | Practice locations: Ellensburg, WA |
National Provider Directory
National Provider Directory- Tax ID family
- Whole Health Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Ellensburg, WA
- NPI 1144904376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560384000000",
"number": "1790242576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S PEARL ST STE 1",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263646",
"telephone_number": "509-925-6800",
"fax_number": "509-925-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S PEARL ST STE 1",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263655",
"telephone_number": "509-925-6800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE HEALTH PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-27",
"last_updated": "2019-06-13",
"status": "A",
"authorized_official_last_name": "SCHEFFELMAIER",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "509-607-1370",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Whole Health Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.