Organization Active NPI

Horens Drug Store

  • Community/Retail Pharmacy
  • Burlington, WA
National Provider Identifier
1891800843
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00003748 Issued in WA
Legal business name
HORENS DRUG STORE
Practice address
130 E Fairhaven Ave
Burlington, WA 98233-1740
Phone
(360) 755-0441
Fax
(360) 755-0627
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Charles ReedNPI 1598877169
Title
Presidnet
Phone
(360) 755-0441

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 CF00003748 WA Primary

Addresses

Primary practice location

130 E Fairhaven Ave
Burlington, WA 98233-1740

Mailing address

PO Box 316
Burlington, WA 98233-0316

Other identifiers 2

IdentifierTypeStateIssuer
4920612OtherOTHER ID NUMBER
6145908MedicaidWA

National Provider Directory

National Provider Directory

Locations

130 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0441

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1891800843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982330316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331740",
            "telephone_number": "360-755-0441",
            "fax_number": "360-755-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORENS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "360-755-0441"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00003748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4920612",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6145908",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.