PUBLIC HOSPITAL DIST NO 1 SKAGIT (NPI# 1831131135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831131135 |
Entity Type | Organization |
Organization Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
Other Organization Name | SKAGIT REGIONAL CLINICS MOUNT VERNON PHARMACY |
Practice Address |
1410 E Kincaid St Mount Vernon WA 98274-4127 |
Practice Telephone | 3604286465 |
Practice Fax Number | 3604286409 |
Mailing Telephone | 3604286465 |
Mailing Fax Number | 3604286409 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2017-02-20 |
Authorized Official Name | THOMAS LITAKER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3604242512 |
Authorized Official Credential | BS RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60170291 | WA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 6029334 | 05 | |
WA | 6029326 | 05 | |
PK | 2125742 | 01 |
Other Name | Type Code |
---|---|
Skagit Regional Clinics Mount Vernon Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316061765 | Public Hospital Dist No 1 Skagit | Clinic/Center | 875 Wesley St Ste 160, Arlington, WA 98223-1650 | 2007-03-19 |
1013064575 | Public Hospital Dist No 1 Skagit | Family Medicine | 1190 Riddle Street, Darrington, WA 98241 | 2007-01-05 |
1093889875 | Public Hospital Dist No 1 Skagit | Clinic/Center | 208 S. Hospital Parkway, Mount Vernon, WA 98274-4126 | 2006-11-20 |
1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
1033164470 | Public Hospital Dist No 1 Skagit | Family Medicine | 405 W. Stanley Street, Granite Falls, WA 98252-8631 | 2006-05-24 |
1811460652 | Public Hospital Dist No 1 Skagit | Physical Therapy Assistant | 1901 Hoag Road, Suite B, Mount Vernon, WA 98273 | 2019-01-04 |
1497163448 | Public Hospital Dist No 1 Skagit | Emergency Medicine | 3823 172nd St Ne, Arlington, WA 98223-7735 | 2014-07-22 |
1033533443 | Public Hospital Dist No 1 Skagit | Dermatology | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-02-06 |
1114340882 | Public Hospital Dist No 1 Skagit | Pharmacy | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-01-30 |
1265776918 | Public Hospital Dist No 1 Skagit | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-19 |
Street Address |
1410 E KINCAID ST |
City | MOUNT VERNON |
State | WA |
Zip Code | 98274-4127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477816684 | Kevin Michael Bingham | Pharmacist | 1410 E Kincaid St, Mount Vernon, WA 98274-4127 | 2012-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
Find all providers in zip 98274 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114545571 | Medlife Pharmacy LLC | Pharmacy | 213 Highway 37 Ste 200&300, Mount Vernon, TX 75457-3106 | 2020-07-10 |
1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
1811040918 | Brown & Cole Stores LLC | Pharmacy | 1515 N 18th St, Mount Vernon, WA 98273-2675 | 2007-01-19 |
1649374695 | Marco Pharmacy and Optical Inc | Pharmacy | 4121 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-09-12 |
1992808695 | Hook Superx LLC | Pharmacy | 700 E 4th St, Mount Vernon, IN 47620-2011 | 2006-09-07 |
1467555235 | Highland Park Cvs, L.L.C. | Pharmacy | 2700 Broadway St, Mount Vernon, IL 62864-2342 | 2006-09-07 |
1316970650 | Haggen, Inc | Pharmacy | 2601 E Division St, Mount Vernon, WA 98274-4748 | 2006-07-09 |
1417923012 | Mt Vernon Community Pharmacy Inc | Pharmacy | 2339 Broadway St, Mount Vernon, IL 62864-2925 | 2006-02-24 |
1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
1639644156 | Mabd Enterprises, LLC | Pharmacy | 115 W Spring St, Mount Vernon, GA 30445-2957 | 2018-10-11 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 98274 |
Please comment or provide details below to improve the information on PUBLIC HOSPITAL DIST NO 1 SKAGIT.
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.