Washington State Dept. of Social & Health Services

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WASHINGTON STATE DEPT. OF SOCIAL & HEALTH SERVICES

Practice address

609 Speyers Rd
Selah, WA 98942-1050

Phone

(509) 698-1345

Fax

(509) 697-2217

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David L. Christensen, RPH

Title

Pharmacist

Phone

(509) 698-1345

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• YAKIMA VALLEY SCHOOL PHARMACY Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1821030123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SPEYERS RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SPEYERS RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421050",
            "telephone_number": "509-698-1345",
            "fax_number": "509-697-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE DEPT. OF SOCIAL & HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "509-698-1345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "FL00001190",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4931665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YAKIMA VALLEY SCHOOL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Braden Vandyke, DMD
• Tyler Jason Varnum
• Christina Jean Vickers
• Warninger Chiropractic Clinic - Selah Office
• Kay Warnock
• Richard P. Washut, D.D.S.
• Greg A Waters, PT
• Cheryl I. Webert
• Wellness Counseling and Evaluation, PLLC
• Leonard E Williams

• Long Term Care Pharmacy in Selah, WA
• Providers in Selah, 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 Jul 29, 2008; 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.