NPIMap

Organization Active NPI

Innominds LLC

  • Long Term Care Pharmacy
  • Yakima, WA
National Provider Identifier
1790631778
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
INNOMINDS LLC
Practice address
1103 S 72ND Ave Ste 100
Yakima, WA 98908-1913
Phone
(509) 823-1653
Fax
(509) 823-1654
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Mr. Srinivasulu Mandava, RPH
Title
Pharmacy Manager
Phone
(509) 899-6021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1103 S 72ND Ave Ste 100
Yakima, WA 98908-1913

Mailing address

PO Box 8201
Yakima, WA 98908-0201
Phone (509) 823-1653

National Provider Directory

National Provider Directory
Tax ID family
Innominds LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1103 S 72nd Ave
Ste 100
Yakima, WA 98908
Phone (509) 823-1653

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1790631778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8201",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989080201",
            "telephone_number": "509-823-1653",
            "fax_number": "509-823-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S 72ND AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081913",
            "telephone_number": "509-823-1653",
            "fax_number": "509-823-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOMINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "MANDAVA",
        "authorized_official_first_name": "SRINIVASULU",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "509-899-6021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.