NPIMap

Organization Active NPI

Saint-Mark Enterprises 1061 LLC

Doing business as The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Spokane Valley, WA
National Provider Identifier
1932443520
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60329557 Issued in WA
Legal business name
SAINT-MARK ENTERPRISES 1061 LLC
Doing business as
The Medicine Shoppe Pharmacy
Practice address
12414 E Sprague Ave
Spokane Valley, WA 99216-0722
Phone
(509) 924-1222
Fax
(509) 922-6411
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Rik St Germain
Title
Owner
Phone
(206) 650-5514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHAR.CF.60329557 WA Primary

Addresses

Primary practice location

12414 E Sprague Ave
Spokane Valley, WA 99216-0722

Mailing address

1070 Via Saint Lucia PL
Henderson, NV 89011-0873
Phone (206) 650-5541

Other identifiers 1

IdentifierTypeStateIssuer
2139557OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

12414 E Sprague Ave
#1061
Spokane Valley, WA 99216
Phone (509) 924-1222

12414 E Sprague Ave
Spokane Valley, WA 99216
Phone (509) 924-1222

Practitioners & affiliated clinicians

Practitioners 3

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": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1932443520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 VIA SAINT LUCIA PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890110873",
            "telephone_number": "206-650-5541",
            "fax_number": "702-568-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160722",
            "telephone_number": "509-924-1222",
            "fax_number": "509-922-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT-MARK ENTERPRISES 1061 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "ST GERMAIN",
        "authorized_official_first_name": "RIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-650-5514"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60329557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.