CHAS PERRY STREET PHARMACY (NPI# 1134512874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134512874 |
| Entity Type | Organization |
| Organization Name | CHAS PERRY STREET PHARMACY |
| Other Organization Name | CHAS PERRY STREET PHARMACY |
| Practice Address |
817 S Perry St Spokane WA 99202-3400 |
| Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
| Practice Telephone | 5093431116 |
| Mailing Telephone | 5094448888 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | AARON WILSON (CEO) |
| Authorized Official Telephone | 5094448888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PHARCF60530096 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2074305 | 05 | |
| PK | 2149808 | 01 |
| Other Name | Type Code |
|---|---|
| CHAS Perry Street Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600889 | Chas Perry Street Pharmacy | Pharmacy | 817 S Perry St Unit B, Spokane, WA 99202-3443 | 2019-10-08 |
| Street Address |
817 S PERRY ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225084908 | Monica L Diteman | Nurse Practitioner | 817 S Perry St, Suite B, Spokane, WA 99202-3400 | 2006-05-25 |
| 1114545878 | Chantel Robinson | Pharmacist | 817 S Perry St, Spokane, WA 99202-3400 | 2020-07-09 |
| 1316460447 | Therese Marie Castrogiovanni | Pharmacist | 817 S Perry St, Spokane, WA 99202-3400 | 2017-07-20 |
| 1790134971 | Mitchell Kayser | Pharmacist | 817 S Perry St, Ste B, Spokane, WA 99202-3400 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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 |
|---|---|---|---|---|
| 1922181478 | Bates Drug Stores Inc | Pharmacy | 3704 N Nevada St, Ste B, Spokane, WA 99207-2968 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1568418069 | Kaiser Foundation Health Plan Northwest | Pharmacy | 16703 Se Mcgillivray Blvd, Vancouver, WA 98683-4300 | 2006-05-26 |
| 1992742894 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-05-31 |
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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.