Ulrich Valley Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00000885 Issued in WA

Legal business name

ULRICH VALLEY PHARMACY INC

Practice address

423 E Methow Valley Hwy
Twisp, WA 98856

Phone

(509) 997-2191

Fax

(509) 997-9205

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Winton Ulrich, RPHNPI 1831444371

Title

Ceo

Phone

(509) 997-2191

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Ulrich, RPH

  • Pharmacist
  • Twisp, WA
  • NPI 1831444371
  NPD (past) Authorized official
• Christine Ann Ulrich

  • Pharmacist
  • Twisp, WA
  • NPI 1225338940
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1962579185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "988560037",
            "telephone_number": "509-997-2191",
            "fax_number": "509-997-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E METHOW VALLEY HWY",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "98856",
            "telephone_number": "509-997-2191",
            "fax_number": "509-997-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULRICH VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-997-2191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00000885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6055404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Stout
• Debra Lynn Talley, PSY.D.
• The Wild Clinic, PLLC
• Jamie J Thomson, L.M.P.
• Katherine Emily Tilley, WA-LMT-60388791
• Christine Ann Ulrich
• Robert W Ulrich, RPH
• Chloe Waham, DO
• Sarah Washam, LMHC
• Stefanie Nicole Wessel, LM, CPM

• All providers in Twisp, WA
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.