Friday Harbor Drug, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60836964 Issued in WA

Legal business name

FRIDAY HARBOR DRUG, LLC

Practice address

210 Spring St
Friday Harbor, WA 98250-7254

Phone

(360) 378-4421

Fax

(360) 378-6140

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

David George

Title

Managing Member

Phone

(580) 284-7896

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Friday Harbor Drug & Gift Other name

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1982193223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE",
            "address_2": "STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135859",
            "telephone_number": "405-562-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507254",
            "telephone_number": "360-378-4421",
            "fax_number": "360-378-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDAY HARBOR DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "580-284-7896"
    },
    "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": "PHAR.CF.60836964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105235",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friday Harbor Drug & Gift",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Friday Harbor Drug & Gift",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark David Fleming, D.D.S.
• Peter Michael Forlenza
• Ruth Kay Fothergill, M.D,
• Four Winds Therapy
• Freedom Enterprises PLLC
• Friday Harbor Family Clinic PLLC
• Friday Harbor Physical Therapy and Rehabilitation, Inc.
• Felix Gacad, PT
• Arushi Garg
• William Marvin Gaskill Sr., M.D

• Community/Retail Pharmacy in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.