OMAK HEALTH STATION PHARMACY (NPI# 1851420905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851420905 |
| Entity Type | Organization |
| Organization Name | OMAK HEALTH STATION PHARMACY |
| Practice Address |
617 Benton St Omak WA 98841 |
| Mailing Address |
617 Benton St Po Box C Omak WA 98841 |
| Practice Telephone | 5094227454 |
| Practice Fax Number | 5094227457 |
| Mailing Telephone | 5094227454 |
| Mailing Fax Number | 5094227457 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID BATTESE (AREA BUSINESS OFFICE COORDINATOR) |
| Authorized Official Telephone | 5033267277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6026850 | 05 | |
| NCPDP | 4930485 | 01 | |
| PHARMACY DEA NUMBER | BU8168901 | 01 |
| Street Address |
617 BENTON ST |
| City | OMAK |
| State | WA |
| Zip Code | 98841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316047574 | Raul A Rodriguez Jr. | Family Medicine | 617 Benton St, Omak, WA 98841-9636 | 2006-09-25 |
| 1821620204 | Deanne L Ristau | Technician | 617 Benton St, Omak, WA 98841-9636 | 2020-02-04 |
| 1740842053 | Micheal Scott Feuerborn | Nurse Practitioner | 617 Benton St, Omak, WA 98841-9636 | 2019-07-08 |
| 1144882804 | Jo Kiester | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2019-07-02 |
| 1952964579 | Sohyun Park | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2019-04-18 |
| 1790252815 | Marva Denice Mcmillan | Technician/Technologist | 617 Benton St, Omak, WA 98841-9636 | 2018-10-26 |
| 1356890206 | Michael Lee Turnington | Nurse Practitioner | 617 Benton St, Omak, WA 98841-9636 | 2016-10-03 |
| 1588907562 | Emil Jonas Navarrete | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2013-03-28 |
| 1073870044 | Ryan Buckner | Pharmacist | 617 Benton St, Omak, WA 98841-9636 | 2012-04-16 |
| 1285958892 | Brian Clyde Sundquist | Spec/Tech, Pathology | 617 Benton St, Omak, WA 98841-9636 | 2010-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
| Find all providers in zip 98841 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135808 | Alliance Healthcare Technolgies | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1781 267th Ct Se, Sammamish, WA 98075 | 2017-10-20 |
| 1427171628 | Roger Saux Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1505 Klaookwa Drive, Taholah, WA 98587 | 2007-04-10 |
| 1265556005 | Department of Health and Human Services | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 29 Nespelem San Poil Street, Nespelem, WA 99155-0071 | 2007-03-19 |
| 1679607956 | Omak Tribal Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 29 Nespelem Sanpoil St, Nespelem, WA 99155-0071 | 2007-03-16 |
| 1750411310 | David C Wynecoop Memorial Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Square, Wellpinit, WA 99040 | 2007-03-06 |
| 1063542645 | Colville Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Campus Hwy 155, Nespelem, WA 99155 | 2007-03-06 |
| 1487105482 | Native Project Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2016-10-14 |
| 1881142214 | Confederated Tribes of The Chehalis Reservation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 21 Niederman Rd, Oakville, WA 98568-8904 | 2016-09-14 |
| 1699184366 | The Native Project | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2014-08-07 |
| 1952623027 | Nisqually Indian Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2010-02-17 |
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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.