NPIMap

Organization Active NPI

Cheney Owl Pharmacy Inc

  • Community/Retail Pharmacy
  • Spokane, WA
National Provider Identifier
1821176330
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.00056660 Issued in WA
Legal business name
CHENEY OWL PHARMACY INC
Practice address
5901 N Lidgerwood St
Ste 100
Spokane, WA 99208-1189
Phone
(509) 483-3566
Fax
(509) 483-3592
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Amanda Goyke, PHARMD
Title
Owner/ President
Phone
(509) 235-8441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.00056660 WA Primary

Addresses

Primary practice location

5901 N Lidgerwood St
Ste 100
Spokane, WA 99208-1189

Mailing address

220 E Rowan Ave Ste 170
Spokane, WA 99207-1203
Phone (509) 483-3566

Other identifiers 2

IdentifierTypeStateIssuer
6023378MedicaidWA
2110805OtherPK

Other names 1

  • LIDGERWOOD OWL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cheney Owl Pharmacy Inc4 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

5901 N Lidgerwood St
Ste 100
Spokane, WA 99208
Phone (509) 483-3566

220 E Rowan Ave
Ste 170
Spokane, WA 99207
Phone (509) 482-4300

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1821176330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 170",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071203",
            "telephone_number": "509-483-3566",
            "fax_number": "509-483-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST",
            "address_2": "STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081189",
            "telephone_number": "509-483-3566",
            "fax_number": "509-483-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENEY OWL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "GOYKE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "509-235-8441",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00056660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6023378",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIDGERWOOD OWL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.