LA CONNER DRUG STORE (NPI# 1689668451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689668451 |
| Entity Type | Organization |
| Organization Name | LA CONNER DRUG STORE |
| Practice Address |
708 E Morris St La Conner WA 98257-0477 |
| Mailing Address |
Po Box 477 La Conner WA 98257-0477 |
| Practice Telephone | 3604663124 |
| Practice Fax Number | 3604664775 |
| Mailing Telephone | 3604663124 |
| Mailing Fax Number | 3604664775 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FREDERICK SANDERS MARTIN (PHARMACIST STORE OWNER) |
| Authorized Official Telephone | 3604663124 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | CF00000460 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6043301 | 05 |
| Street Address |
708 E MORRIS ST |
| City | LA CONNER |
| State | WA |
| Zip Code | 98257-0477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497255293 | Fern Lane Company, LLC | Clinic/Center | 708 E Morris St, Suite B, La Conner, WA 98257 | 2018-02-19 |
| 1083047369 | Brianna Jean Wilson | Nurse Practitioner | 708 E Morris St, Ste B, La Conner, WA 98257-9825 | 2013-08-09 |
| 1265454292 | Soas LLC | Pharmacy | 708 E Morris St, La Conner, WA 98257 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088144 | Rsl La Conner, LLC | Assisted Living Facility | 204 N. 1st St, La Conner, WA 98257 | 2020-06-19 |
| 1255950572 | The Everett Clinic, Pllc | Family Medicine | 528 Myrtle Street, Laconner, WA 98257 | 2020-04-16 |
| 1205302262 | Thanh Nguyen | Pharmacist | 708 E. Morris St, La Conner, WA 98257 | 2018-10-17 |
| 1023590197 | Melissa Danielle Adair | Nurse Practitioner | 708 Morris Street, Suite B, La Conner, WA 98257 | 2018-09-05 |
| 1013363886 | Steven Bruce Gooding | Counselor | 17400 Reservation Rd., La Conner, WA 98257 | 2016-05-10 |
| 1639550643 | Skagit County Fire District 13 | Ambulance | 17433 Snee-oosh Rd, La Conner, WA 98257 | 2015-06-16 |
| 1679909360 | Nina Marie Wawrzyniec | Chiropractor | 125 Washington Street, Laconner, WA 98257 | 2013-09-25 |
| 1669805180 | Reidun E Pederson | Registered Nurse | 403 State St., La Conner, WA 98257 | 2013-08-20 |
| 1326390527 | Susan Jane Erickson | Speech-Language Pathologist | 305 N. 6th, La Conner, WA 98257 | 2012-10-11 |
| 1528331469 | Charles Evert Larsson | Family Medicine | 528 Myrtle Avenue, La Conner, WA 98257 | 2012-02-22 |
| Find all providers in zip 98257 | ||||
| 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 |
|---|---|---|---|---|
| 1912515644 | Allison Marie Hill | Pharmacy | 3 Spruce Ln, South Bend, WA 98586-9008 | 2020-07-20 |
| 1518504984 | Petersen Investments, LLC | Pharmacy | 12119 Ne 99th St Ste 2030, Vancouver, WA 98682-2461 | 2019-12-04 |
| 1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1518517101 | The Bartell Drug Co | Pharmacy | 2506 2nd Ave, Seattle, WA 98121-1427 | 2019-09-16 |
| 1457904625 | University of Washington | Pharmacy | 750 Republican St Bldg F, Seattle, WA 98109-4766 | 2019-07-17 |
| 1508348020 | The Bartell Drug Co | Pharmacy | 9010 Market Pl, Lake Stevens, WA 98258-4908 | 2018-08-31 |
| 1144710922 | Healthpoint | Pharmacy | 947 Powell Ave Sw Ste B, Renton, WA 98057-2975 | 2018-05-16 |
| 1093202087 | Sixth Avenue Medical Building Pharmacy | Pharmacy | 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 | 2018-04-16 |
| 1265935795 | The Bartell Drug Co | Pharmacy | 7423 204th St Ne, Arlington, WA 98223-8204 | 2018-03-12 |
| 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.