Tieton Village Drug Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TIETON VILLAGE DRUG INC.

Doing business as

VILLAGE PHARMACY SERVICES

Practice address

8401 E Sprague Ave
Spokane Valley, WA 99212-2917

Phone

(509) 505-1300

Fax

(866) 934-0323

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Phil Luther

Title

Owner

Phone

(509) 961-2103

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VILLAGE PHARMACY SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tieton Village Drug Inc.

  • Community/Retail Pharmacy
  • Yakima, WA
  • NPI 1659450336

  4284786096

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tieton Village Drug Inc.

  • Community/Retail Pharmacy
  • Yakima, WA
  • NPI 1659450336

  O20090708000599

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Tieton Village Drug5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• River Village Pharmacy

  • Long Term Care Pharmacy
  • Yakima, WA
  • NPI 1477632156
  NPD tax ID
• Tieton Village Drug

  • Durable Medical Equipment & Medical Supplies
  • Yakima, WA
  • NPI 1780748889
  NPD tax ID
• Tieton Village Drug Inc.

  • Community/Retail Pharmacy
  • Yakima, WA
  • NPI 1659450336
  NPD tax ID
• Tieton Village Drugs Inc

  • Community/Retail Pharmacy
  • Yakima, WA
  • NPI 1831110808
  NPD tax ID

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Regency Hermiston Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Hermiston, OR
  • NPI 1831306380

  Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1902459100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023696",
            "telephone_number": "509-966-6850",
            "fax_number": "509-966-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122917",
            "telephone_number": "509-505-1300",
            "fax_number": "866-934-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIETON VILLAGE DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-961-2103"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4939229",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146642",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Long Term Care Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.