CHENEY OWL PHARMACY INC (NPI# 1639689748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639689748 |
Entity Type | Organization |
Organization Name | CHENEY OWL PHARMACY INC |
Other Organization Name | COULEE OWL PHARMACY |
Practice Address |
411 Fortuyn Rd Grand Coulee WA 99133-8718 |
Practice Telephone | 5096336425 |
Practice Fax Number | 5096336358 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2017-10-03 |
Authorized Official Name | AMANDA GOYKE (VICE PRESIDENT) |
Authorized Official Telephone | 5099992355 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60747617 | WA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PHARMACY LICENSE | PHAR.CF.60747617 | 01 |
Other Name | Type Code |
---|---|
Coulee 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 |
1821176330 | Cheney Owl Pharmacy Inc | Pharmacy | 5901 N Lidgerwood St, Ste 100, Spokane, WA 99208-1189 | 2006-11-01 |
1326022047 | Cheney Owl Pharmacy Inc | Pharmacy | 208 Main St, Fairfield, WA 99012-9678 | 2005-12-06 |
Street Address |
411 FORTUYN RD |
City | GRAND COULEE |
State | WA |
Zip Code | 99133-8718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205838703 | David Martin Brown | Nurse Anesthetist, Certified Registered | 411 Fortuyn Rd, Coulee Community Hospital, Grand Coulee, WA 99133-8718 | 2005-08-15 |
1144725664 | Amy Anne Haden | Registered Nurse | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2018-03-27 |
1982050779 | Leah G Kobes | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2016-05-11 |
1003274614 | Anna Hardesty | Physical Therapist | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2016-02-10 |
1740653807 | Kathleen Christine Henry | Physician Assistant | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-11-10 |
1255709614 | Melissa Stanley | Registered Nurse | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-09-02 |
1134516933 | Jennifer Knox | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-04-20 |
1780080515 | Jacie L Van Blaricom | Dietitian, Registered | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-11-05 |
1538589023 | Marilynn Holman | Psychiatry & Neurology | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-04-23 |
1376962852 | Adam Fields Mcconnell | Family Medicine | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2014-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134754468 | Alexander Chhun Tor | Pharmacist | 320 Midway Ave., Grand Coulee, WA 99133 | 2020-03-06 |
1093081333 | Cara Turner | Pharmacist | 320 Midway Avenue, Grand Coulee, WA 99133 | 2012-03-30 |
1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
1295909448 | Jg Pepperd Dc Pllc | Chiropractor | 400 Burdin Blvd, Grand Coulee, WA 99133 | 2008-04-18 |
1629171616 | Galen Neal Schmidt | Optometrist | 407 Burdin Blvd., Grand Coulee, WA 99133 | 2006-09-06 |
1841230489 | Lesa Eiffert | Counselor | 322 Fortuyn Rd, Grand Coulee, WA 99133 | 2006-06-08 |
1578919700 | Real Vision, Inc | Optometrist | 407 Burdin Blvd, Grand Coulee, WA 99133 | 2016-05-06 |
1255770020 | Kyle M. Gillespie, O.d., Ltd. | Optometrist | 407 Burdin Blvd, Grand Coulee, WA 99133 | 2013-06-14 |
1568716975 | Kai Scott | Physical Therapist | 321 Burdin Boulevard, Grand Coulee, WA 99133 | 2012-11-07 |
1972657328 | Kelly J Prather | Physical Therapist | 321 Burdin Blvd, Grand Coulee Physical Therapy, Grand Coulee, WA 99133 | 2007-01-23 |
Find all providers in zip 99133 |
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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1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
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 |
City | GRAND COULEE |
Zip Code | 99133 |
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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.