NPIMap

Organization Active NPI

Brown Trout LLC.

  • Pharmacy
  • Spokane, WA
National Provider Identifier
1861623746
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BROWN TROUT LLC.
Practice address
906 S. Monroe
Spokane, WA 99204-3836
Phone
(509) 838-3145
Fax
(509) 489-4527
NPI assigned
Jul 27, 2009
Organization subpart
Yes
Parent organization
BATES DRUG STORES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Mr. Robert Thomas Cordier
Title
President/Ceo
Phone
(509) 321-9091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary

Addresses

Primary practice location

906 S. Monroe
Spokane, WA 99204-3836

Mailing address

3704 N. Nevada St.
Spokane, WA 99207-2968
Phone (509) 489-4500

Other names 1

  • BATES PHARMACY AND MEDICAL SUPPLY SOUTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spo Home HLTH Care Asso4 organizations share this tax ID, including this one
Part of
Spo Home HLTH Care Asso

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1861623746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 N. NEVADA ST.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072968",
            "telephone_number": "509-489-4500",
            "fax_number": "509-489-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S. MONROE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043836",
            "telephone_number": "509-838-3145",
            "fax_number": "509-489-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN TROUT LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BATES DRUG STORES INC.",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "CORDIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "509-321-9091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATES PHARMACY AND MEDICAL SUPPLY SOUTH",
            "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 Jul 27, 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.