SIXTH AVENUE MEDICAL PHARMACY INC (NPI# 1124039623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124039623 |
| Entity Type | Organization |
| Organization Name | SIXTH AVENUE MEDICAL PHARMACY INC |
| Other Organization Name | SIXTH AVENUE MEDICAL PHARMACY |
| Practice Address |
508 W 6th Ave Spokane WA 99204-2770 |
| Mailing Address |
508 W 6th Ave Ste 104 Spokane WA 99204-2770 |
| Practice Telephone | 5094559345 |
| Practice Fax Number | 5094554479 |
| Mailing Telephone | 5094559345 |
| Mailing Fax Number | 5094554479 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | ERIK NELSON (PIC) |
| Authorized Official Telephone | 5094559345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHAR.CF.60411553 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6154702 | 05 | |
| PK | 2143800 | 01 |
| Other Name | Type Code |
|---|---|
| Sixth Avenue Medical Pharmacy | Doing Business As Name - Organization |
| Street Address |
508 W 6TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117187 | Ronald Willard England II | Allergy & Immunology | 508 W 6th Ave, Ste 700, Spokane, WA 99204-2730 | 2005-10-12 |
| 1861005175 | Megan Baker | Pharmacist | 508 W 6th Ave, Spokane, WA 99204-2770 | 2020-08-26 |
| 1740716174 | Drew Kahns | Massage Therapist | 508 W 6th Ave, Suite 50, Spokane, WA 99204-2770 | 2017-05-04 |
| 1477000560 | Bonnie Chih | Pharmacist | 508 W 6th Ave, Spokane, WA 99204-2770 | 2016-09-06 |
| 1215377544 | Erik James Nelson | Pharmacist | 508 W 6th Ave, Spokane, WA 99204-2770 | 2013-07-01 |
| 1427318427 | Nathan L Johnson | Dentist | 508 W 6th Ave, Suite 208, Spokane, WA 99204-2770 | 2012-05-23 |
| 1306129887 | Chad Jeremy Vosahlo | Massage Therapist | 508 W 6th Ave, Suite 202, Spokane, WA 99204-2770 | 2011-09-21 |
| 1316259302 | Susan Kellogg | Pharmacist | 508 W 6th Ave, Spokane, WA 99204-2770 | 2010-07-08 |
| 1780816678 | Vedbrat S. Vaid, M.d.,,p.s. | Specialist | 508 W 6th Ave, Ste. 410, Spokane, WA 99204-2770 | 2009-08-11 |
| 1366612707 | Wendy Kay Smith Full Circle Medical Clinic | Clinic/Center | 508 W 6th Ave, Suite 303, Spokane, WA 99204-2770 | 2008-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093202087 | Sixth Avenue Medical Building Pharmacy | Pharmacy | 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 | 2018-04-16 |
| 1063886992 | Yokes Foods Inc | Pharmacy | 4235 S Cheney Spokane Rd, Spokane, WA 99224-9661 | 2015-11-16 |
| 1932241825 | Arthur R Tyrrell | Pharmacy | 928 S Perry St, Spokane, WA 99202-3463 | 2007-02-14 |
| 1568551430 | Credena Health LLC | Pharmacy | 101 W 8th Ave Ste 207653, Spokane, WA 99204 | 2006-10-11 |
| 1386747558 | Well Life Pharmacy Incorporated | Pharmacy | 5608 S Regal St Ste 102, Spokane, WA 99223-7957 | 2006-09-06 |
| 1912924044 | Walmart Inc. | Pharmacy | 9212 N Colton St, Spokane, WA 99218-1284 | 2006-07-16 |
| 1992722011 | Walmart Inc. | Pharmacy | 2301 W Wellesley Ave, Spokane, WA 99205-5004 | 2006-07-16 |
| 1972537900 | Yokes Food Inc | Pharmacy | 3321 W Indian Trail Rd, Spokane, WA 99208-4762 | 2006-07-10 |
| 1538193099 | Yokes Food Inc | Pharmacy | 210 E North Foothills Dr, Spokane, WA 99207-2155 | 2006-07-10 |
| 1841226057 | Fred Meyer Stores Inc | Pharmacy | 525 E Francis Ave, Spokane, WA 99208-1039 | 2006-06-23 |
| Find all providers in SPOKANE | ||||
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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.