Active NPI
Horens Drug Store
- Community/Retail Pharmacy
- Burlington, WA
National Provider Identifier
1891800843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF00003748
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Reed
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4920612 | Other | OTHER ID NUMBER | |
| 6145908 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Burlington, WA
- NPI 1598877169
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.