CHINOOK PHARMACY INC. (NPI# 1063432508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063432508 |
| Entity Type | Organization |
| Organization Name | CHINOOK PHARMACY INC. |
| Practice Address |
11 S Forks Ave Forks WA 98331-9006 |
| Mailing Address |
Po Box 2136 Forks WA 98331-2136 |
| Practice Telephone | 3603742294 |
| Practice Fax Number | 3603745057 |
| Mailing Telephone | 3603742294 |
| Mailing Fax Number | 3603745057 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | MR. CHARLES E CARLSON (PRES) |
| Authorized Official Telephone | 3603742294 |
| Authorized Official Credential | R PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00058860 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 16470 | 01 |
| WA | 9045162 | 05 | |
| WA | 6090203 | 05 |
| Street Address |
11 S FORKS AVE |
| City | FORKS |
| State | WA |
| Zip Code | 98331-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915050 | Bailey Mae Powers | Pharmacist | 11 S Forks Ave, Forks, WA 98331-9006 | 2020-09-04 |
| 1972866390 | Gregory Michael Smith | Pharmacist | 11 S Forks Ave, Forks, WA 98331-9006 | 2012-06-20 |
| 1356412134 | Charles Edward Carlson | Pharmacist | 11 S Forks Ave, Forks, WA 98331-9006 | 2006-11-13 |
| 1477631851 | Stanley Oscar Peterson | Pharmacist | 11 S Forks Ave, Forks, WA 98331-9006 | 2006-11-01 |
| 1780762153 | Linda A Peterson | Pharmacist | 11 S Forks Ave, Forks, WA 98331-9006 | 2006-11-01 |
| 1861409880 | Chinook Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 11 S Forks Ave, Forks, WA 98331-9006 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1497298046 | Cathy A. Clark L.m.p. | Massage Therapist | 186-375 Hwy. 101, Forks, WA 98331 | 2016-11-30 |
| 1841447752 | Concerned Citizens | Early Intervention Provider Agency | 945 S Forks Ave, Forks, WA 98331 | 2008-08-21 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1508078627 | John M Shima Md Ps | Internal Medicine | 460 West E St, Forks, WA 98331 | 2007-05-03 |
| 1578612875 | Anea Beck Ownes | Massage Therapist | 230 Willow Ave, Forks, WA 98331 | 2007-01-09 |
| 1295820173 | Howard Edward Berris | Dentist | 37325 W 12 Mile Rd, Suite B, Farmington Hills, MI 98331 | 2006-10-04 |
| 1760455075 | Richard Lee Dickson | Family Medicine | 481 W E St, Forks, WA 98331 | 2006-02-08 |
| 1700382843 | Vernon Rondeau | Registered Nurse | 560 Quileute Heights, La Push, WA 98331 | 2018-04-05 |
| 1962769760 | Anand Selvam | Emergency Medicine | 530 Bogachiel Way, Forks, WA 98331 | 2012-04-18 |
| Find all providers in zip 98331 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.