Blue Mountain Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLUE MOUNTAIN PHARMACY INC

Doing business as

Pomeroy Pharmacy

Practice address

764 Main St
Pomeroy, WA 99347-9718

Phone

(509) 843-1821

Fax

(509) 843-3447

NPI assigned

Nov 3, 2022

Last updated

Jun 19, 2023By 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

Dr. Sean Dyce Thurston, PHARMDNPI 1699021782

Title

President

Phone

(509) 382-2536

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pomeroy Pharmacy Doing business as

Practitioners 1

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.

• Sean Dyce Thurston, PHARMD

  • Pharmacist
  • Dayton, WA
  • NPI 1699021782
  NPD Authorized official

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1881301323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E MAIN ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281393",
            "telephone_number": "509-382-2536",
            "fax_number": "509-382-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MAIN ST",
            "city": "POMEROY",
            "state": "WA",
            "postal_code": "993479718",
            "telephone_number": "509-843-1821",
            "fax_number": "509-843-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "DYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-382-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2243871",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomeroy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pomeroy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa C Barnes, ARNP
• Virginia R. Boyd, LPN/IV TECH
• Jemima Valenzuela Crossfield, LMP
• Emerson Curtis Fillippa, DO
• Garfield County Fire District (Garfield County Ambulance)
• Garfield County Fire District No 1

• Community/Retail Pharmacy in Pomeroy, WA
• Providers in Pomeroy, 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 Jun 19, 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.