Lincoln Ave Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LINCOLN AVE PHARMACY LLC

Practice address

2810 E Lincoln Ave Ste G
Sunnyside, WA 98944-9799

Phone

(509) 567-6666

Fax

(509) 213-2817

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Reddy Annappareddy

Title

Ceo

Phone

(509) 841-0000

Specialties & licenses 1

Addresses

Other names 1

• DOCTOR'S PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1851005003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363378",
            "telephone_number": "509-567-6666",
            "fax_number": "509-213-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 E LINCOLN AVE STE G",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989449799",
            "telephone_number": "509-567-6666",
            "fax_number": "509-213-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN AVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "ANNAPPAREDDY",
        "authorized_official_first_name": "REDDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-841-0000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTOR'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Araceli Leon Alvarado, ABO CERTIFICATION
• Charles Kenneth Leonard, CRNA
• Lisa Ann Lewis, LMP
• Robert N Lewis, CDP
• Katie Lies
• Paul Lobaugh, PHD
• Carina Lopez
• Carlos James Lopez, PTA
• Daisy Lopez
• Lower Valley Eye Care Inc.

• Community/Retail Pharmacy in Sunnyside, WA
• Providers in Sunnyside, 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 Jan 20, 2023; 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.