William R. Coleman

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH00009443 Issued in WA

Legal business name

WILLIAM R. COLEMAN

Practice address

301 S Wapato Ave
Wapato, WA 98951-1346

Phone

(509) 877-2707

Fax

(509) 877-2577

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William Richard Coleman, RPH

Title

Owner

Phone

(509) 877-2707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Red Cross Drug Store Doing business as

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1992701155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S WAPATO AVE",
            "address_2": "P.O. BOX 98",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511346",
            "telephone_number": "509-877-2707",
            "fax_number": "509-877-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WAPATO AVE",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989511346",
            "telephone_number": "509-877-2707",
            "fax_number": "509-877-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-877-2707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PH00009443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6065304",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Cross Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Wapato, WA
• Providers in Wapato, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.