NPIMap

Organization Active NPI

Ellensburg Downtown Pharmacy Inc

Doing business as Downtown Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Ellensburg, WA
National Provider Identifier
1952327595
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF00002424 Issued in WA
Legal business name
ELLENSBURG DOWNTOWN PHARMACY INC
Doing business as
Downtown Health Mart Pharmacy
Practice address
414 N Pearl St
Ellensburg, WA 98926-3112
Phone
(509) 925-1514
Fax
(509) 925-1545
NPI assigned
Jul 15, 2006
Last updated
Nov 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
David Cross, BACH OF PHARMACNPI 1275630220
Title
President Co Owner
Phone
(509) 925-1514

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHARCF00002424 WA Primary

Addresses

Primary practice location

414 N Pearl St
Ellensburg, WA 98926-3112

Mailing address

414 N Pearl St
Ellensburg, WA 98926-3112
Phone (509) 925-1514

Other identifiers 1

IdentifierTypeStateIssuer
2108144OtherPK

Other names 1

  • DOWNTOWN HEALTH MART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

414 N Pearl St
Ellensburg, WA 98926
Phone (509) 925-1514

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1952327595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N PEARL ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263112",
            "telephone_number": "509-925-1514",
            "fax_number": "509-925-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N PEARL ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263112",
            "telephone_number": "509-925-1514",
            "fax_number": "509-925-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG DOWNTOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT CO OWNER",
        "authorized_official_telephone_number": "509-925-1514",
        "authorized_official_credential": "BACH OF PHARMAC"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF00002424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOWNTOWN HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.