Okanogan Valley Professional Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60427458 Issued in WA

Legal business name

OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC

Doing business as

Okanogan Valley Pharmacy

Practice address

236 N. 2ND Ave.
Okanogan, WA 98840

Phone

(509) 422-9958

Fax

(509) 422-9998

NPI assigned

Feb 10, 2012

Last updated

Aug 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trent Danielson, PHARMD

Title

Owner

Phone

(509) 322-6321

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Okanogan Valley Pharmacy Doing business as

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1801169628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988401247",
            "telephone_number": "509-422-9958",
            "fax_number": "509-422-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N. 2ND AVE.",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "98840",
            "telephone_number": "509-422-9958",
            "fax_number": "509-422-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKANOGAN VALLEY PROFESSIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-322-6321",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60427458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142898",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okanogan Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Okanogan County Public Health
• Okanogan County Sherriff Jail
• Okanogan County Transportation & Nutrition
• Okanogan School District #105
• Okanogan TMS & Wellness, PLLC
• Trace Jean Paul, LMP
• Planned Parenthood of Greater Washington and North Idaho (Ppgwni)
• Jenna Joy Radke
• Randal Stephen Rigler, D.D.S.
• Randy Robbins, PA-C

• Community/Retail Pharmacy in Okanogan, WA
• Providers in Okanogan, 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 Aug 12, 2016; 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.