Columbia River Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60176819 Issued in WA

Legal business name

COLUMBIA RIVER PHARMACY

Doing business as

Malley's Compounding Pharmacy

Practice address

1906 George Washington Way
Richland, WA 99354-2308

Phone

(509) 943-9173

Fax

(509) 946-1122

NPI assigned

Jul 6, 2006

Last updated

Jan 15, 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

James Henriksen, PHARMD

Title

Owner

Phone

(509) 943-9173

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Malley's Compounding Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan L Cerrillo, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Richland, WA
  • NPI 1104182088
  NPD (past)
• Cammi Johnson

  • Pharmacist
  • Richland, WA
  • NPI 1891105433
  NPD (past)
• Andrea Shannon Whiston, PHARMD

  • Pharmacist
  • Richland, WA
  • NPI 1316459985
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1861423717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542308",
            "telephone_number": "509-943-9173",
            "fax_number": "509-946-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542308",
            "telephone_number": "509-943-9173",
            "fax_number": "509-946-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RIVER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "HENRIKSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-943-9173",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60176819",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6143903",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malley's Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Columbia Neurology & Pain Management, PS (Columbia Neurology, PS)
• Columbia Neurosurgery & Spine PLLC
• Angela Combs, ARNP
• Community Birth Group
• Compass Home Health Care
• Compass Home Health Care
• Complete Healthcare for Women PLLC

• Community/Retail Pharmacy in Richland, WA
• Providers in Richland, 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 15, 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.