CHENEY OWL PHARMACY INC (NPI# 1326022047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326022047 |
| Entity Type | Organization |
| Organization Name | CHENEY OWL PHARMACY INC |
| Other Organization Name | FAIRFIELD OWL PHARMACY |
| Practice Address |
208 Main St Fairfield WA 99012-9678 |
| Mailing Address |
Po Box 270 Fairfield WA 99012-0270 |
| Practice Telephone | 5092834299 |
| Practice Fax Number | 5092832442 |
| Mailing Telephone | 5092834299 |
| Mailing Fax Number | 5092832442 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM J THOMAS (PHARMACIST MANAGER) |
| Authorized Official Telephone | 5092834299 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | CF00004015 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0063071 | 01 |
| NCPDP | 4920826 | 01 | |
| WA | 6030134 | 05 |
| Other Name | Type Code |
|---|---|
| Fairfield Owl Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316026297 | Cheney Owl Pharmacy Inc | Pharmacy | 123 E Lake St, Medical Lake, WA 99022 | 2006-11-03 |
| 1912085424 | Cheney Owl Pharmacy Inc | Pharmacy | 120 F St, Cheney, WA 99004-1630 | 2006-11-01 |
| 1639689748 | Cheney Owl Pharmacy Inc | Pharmacy | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2017-10-03 |
| 1821176330 | Cheney Owl Pharmacy Inc | Pharmacy | 5901 N Lidgerwood St, Ste 100, Spokane, WA 99208-1189 | 2006-11-01 |
| Street Address |
208 MAIN ST |
| City | FAIRFIELD |
| State | WA |
| Zip Code | 99012-9678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598975849 | Fairfield Dental Clinic, LLC | Dentist | 214 E Main, Fairfield, WA 99012 | 2007-05-23 |
| 1770543928 | Spokane County Fire District 2 | Ambulance | 17815 E Truax Rd, Fairfield, WA 99012 | 2006-03-23 |
| 1023489465 | The Fairfield Dental Clinic | Dentist | 214 Main St, Fairfield, WA 99012 | 2015-10-12 |
| 1841357068 | Timari D. Brower | Counselor | 212 Main St., Fairfield, WA 99012 | 2007-01-03 |
| 1578544359 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 503 S Good Samaritan Rd, Fairfield, WA 99012-9677 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740091 | Deanna Jean Bays | Home Health Aide | 5537 Lake Michigan Dr, Fairfield, OH 45014-3268 | 2020-11-07 |
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1033718671 | Michelle Tabin Dulay | Massage Therapist | 1652 W Texas St Ste 127, Fairfield, CA 94533-5952 | 2020-10-24 |
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1922607753 | Araya Moua | Occupational Therapist | 5038 Lakeview Cir, Fairfield, CA 94534-7400 | 2020-10-22 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1154929651 | Shauntel Evette Haas | Registered Nurse | 2811 Toland Dr, Fairfield, CA 94534-3441 | 2020-10-15 |
| 1578161170 | Lisa B Stein | Nurse Practitioner | 861 Brooklawn Ave, Fairfield, CT 06825-1809 | 2020-10-15 |
| 1831797398 | Angela Pau | Registered Nurse | 100 Bent Tree Dr Apt 1a, Fairfield, OH 45014-6729 | 2020-10-15 |
| Find all providers in FAIRFIELD | ||||
| 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 |
|---|---|---|---|---|
| 1922440460 | Nudak Ventures LLC | Pharmacy | 2000d S Main St, Fairfield, IA 52556-9572 | 2013-07-25 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1932203510 | Lupes Drug Store Inc | Pharmacy | 2035 Black Rock Tpke, Fairfield, CT 06825-3550 | 2006-09-12 |
| 1376645499 | Hometown Pharmacy | Pharmacy | 201 E Commerce St, Fairfield, TX 75840-1509 | 2006-09-01 |
| 1073623625 | Costco Wholesale Corporation | Pharmacy | 5101 Business Center Dr, Fairfield, CA 94534 | 2006-08-30 |
| 1598776155 | Rem Corporation | Pharmacy | 765 Nilles Rd, Suite A, Fairfield, OH 45014-9302 | 2006-08-10 |
| 1093732372 | Wal-mart Stores East Lp | Pharmacy | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2006-07-16 |
| 1841222718 | Stop and Shop Supermarket Co LLC | Pharmacy | 1160 Kings Highway Cutoff, Fairfield, CT 06824-5271 | 2006-07-07 |
| 1295703403 | American Infusion Midatlantic Inc | Pharmacy | 353 Us Highway 46 # C, Fairfield, NJ 07004-2437 | 2006-03-14 |
| 1427661404 | Walgreens | Pharmacy | 2590 N Texas St, Fairfield, CA 94533-1606 | 2020-08-28 |
| Find all providers in FAIRFIELD | ||||
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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.