WALLA WALLA GENERAL HOSPITAL (NPI# 1013299965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013299965 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA GENERAL HOSPITAL |
| Other Organization Name | ADVENTIST HEALTH COMMUNITY PHARMACY |
| Practice Address |
1111 S 2nd Ave Walla Walla WA 99362-4118 |
| Practice Telephone | 5095278333 |
| Practice Fax Number | 5095278183 |
| Mailing Telephone | 5095278268 |
| Mailing Fax Number | 5095278183 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | GEOFF JONES (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5095278268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF60252105 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2132004 | 01 |
| Other Name | Type Code |
|---|---|
| Adventist Health Community Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894048 | Walla Walla General Hospital | Clinic/Center | 336 Chardonnay Ave Ste A, Prosser, WA 99350 | 2012-09-21 |
| 1780972562 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-07-14 |
| 1821394750 | Walla Walla General Hospital | Surgery | 1017 S 2nd Ave, Ste 1, Walla Walla, WA 99362-4183 | 2011-02-10 |
| 1992958771 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2008-10-24 |
| 1013943778 | Walla Walla General Hospital | Plastic Surgery | 1017 S 2nd Ave, Walla Walla, WA 99362-4183 | 2006-06-24 |
| 1467436030 | Walla Walla General Hospital | Medicare Defined Swing Bed Unit | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-12-06 |
| 1760466114 | Walla Walla General Hospital | Clinic/Center | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALLA WALLA GENERAL HOSPITAL | 1025 S Second Avenue, Walla Walla, WA 99362 |
| Washington State Corporations | WALLA WALLA GENERAL HOSPITAL | 1 Adventist Health Way, Roseville, CA 95661-3266 |
| Street Address |
1111 S 2ND AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609533 | David P Woolever | Internal Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2005-06-20 |
| 1861034605 | Stephanie J Hayes | Registered Nurse | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2019-10-14 |
| 1861994675 | Jaime Lynn Fazzone | Pharmacist | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2018-03-07 |
| 1114378684 | Mary Buriani | Nurse Practitioner | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2016-06-27 |
| 1275943060 | Cory Mitchell | Family Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362 | 2014-05-01 |
| 1013284678 | Trudee Kaye Nims | Dietitian, Registered | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-11-28 |
| 1598032740 | Carmelle R Boyd | Social Worker | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-11-16 |
| 1780972562 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-07-14 |
| 1467743500 | Kristin Marie Satterfield | Pediatrics | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-04-24 |
| 1700182797 | Leigh Alison Moore | Pharmacist | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1386690204 | Haggen Opco North LLC | Pharmacy | 450 N Wilbur Ave, Walla Walla, WA 99362-2254 | 2006-05-25 |
| 1881778454 | Tallmans Pharmacy Inc | Pharmacy | 4 W Main St, Walla Walla, WA 99362-2816 | 2006-10-24 |
| 1740376078 | Yakima Valley Farm Workers Clinic | Pharmacy | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493533 | Doctors Pharmacy, LLC | Pharmacy | 65 Columbia Point Dr, Richland, WA 99352-4375 | 2020-09-25 |
| 1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
| 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 | WALLA WALLA |
| Zip Code | 99362 |
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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.