Organization Active NPI

Washington Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • East Wenatchee, WA
National Provider Identifier
1871018267
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60776585 Issued in WA
Legal business name
WASHINGTON VALLEY PHARMACY LLC
Practice address
636 Valley Mall Pkwy
East Wenatchee, WA 98802-3804
Phone
(509) 888-7797
Fax
(509) 888-7255
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Apurva PatelNPI 1144745605
Title
President
Phone
(509) 888-7797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHAR.CF.60776585 WA Primary

Addresses

Primary practice location

636 Valley Mall Pkwy
East Wenatchee, WA 98802-3804

Mailing address

636 Valley Mall Pkwy
East Wenatchee, WA 98802-3804
Phone (509) 888-7797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170921001550 WA Part B Supplier - Pharmacy 2860766318 Practice locations: East Wenatchee, WA
O20171108000376 WA Part B Supplier - Mass Immunization (Roster Biller Only) 2860766318 Practice locations: East Wenatchee, WA

National Provider Directory

National Provider Directory

Locations

636 Valley Mall Pkwy
East Wenatchee, WA 98802
Phone (509) 888-7797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871018267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 VALLEY MALL PKWY",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988023804",
            "telephone_number": "509-888-7797",
            "fax_number": "509-888-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 VALLEY MALL PKWY",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988023804",
            "telephone_number": "509-888-7797",
            "fax_number": "509-888-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "APURVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-888-7797"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60776585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.