Brown & Cole Stores LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00057037 Issued in WA

Legal business name

BROWN & COLE STORES LLC

Practice address

1515 N 18TH St
Mount Vernon, WA 98273-2675

Phone

(360) 428-3663

Fax

(360) 428-0251

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dave Rasmusson

Title

Pharmacy Coordinator

Phone

(360) 714-7749

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mt Vernon Food Pavilion #15 Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1811040918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 COMMERCIAL ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254307",
            "telephone_number": "360-714-7718",
            "fax_number": "360-714-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N 18TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732675",
            "telephone_number": "360-428-3663",
            "fax_number": "360-428-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN & COLE STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "RASMUSSON",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "360-714-7749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6020549",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Vernon Food Pavilion #15 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bailey Broadhead
• Sharon Broberg
• Walter Brodie, RN BSN
• Brent William Brooks, DDS MS
• Amanda Brosell, M.A., CCC-SLP
• Andy Stanley Brown II
• Gary L Brown, M.D.
• Gwen Amelia Brown, MS
• Johanna Brown, OT
• Scott Aaron Brown, D.C.

• Community/Retail Pharmacy in Mount Vernon, WA
• Providers in Mount Vernon, 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 Sep 9, 2009; 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.