KIRK'S DRUG, INC (NPI# 1215930300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215930300 |
| Entity Type | Organization |
| Organization Name | KIRK'S DRUG, INC |
| Other Organization Name | KIRK'S CHS MEDICAL SERVICES |
| Practice Address |
6906 Martin Way Olympia WA 98516-5567 |
| Mailing Address |
6149 Martin Way E Lacey WA 98516-5547 |
| Practice Telephone | 3604565475 |
| Practice Fax Number | 3604912161 |
| Mailing Telephone | 3604938614 |
| Mailing Fax Number | 3604938612 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | MARVIN JAMES WALETICH (CEO) |
| Authorized Official Telephone | 3606947377 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | KIRK'S DRUG, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
WA | Suppliers | |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9011800 | 05 | |
| WA | 1005114 | 05 |
| Other Name | Type Code |
|---|---|
| Kirk's CHS Medical Services | Doing Business As Name - Organization |
| Street Address |
6906 MARTIN WAY |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98516-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497008080 | Olympia Respiratory Services, LLC | Durable Medical Equipment & Medical Supplies | 3773 Martin Way E Ste C102, Olympia, WA 98506-5048 | 2012-10-19 |
| 1679714554 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 418 Lilly Rd Ne, Olympia, WA 98506-5132 | 2009-03-23 |
| 1174631931 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 405 Black Hills Ln Sw, Suite A, Olympia, WA 98502-8661 | 2006-08-29 |
| 1902914419 | Med-core Services Inc | Durable Medical Equipment & Medical Supplies | 6706 Martin Way E, Suite #1, Olympia, WA 98516-5540 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955249 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 333 Fair St, Centralia, WA 98531-8906 | 2020-09-08 |
| 1831715739 | Yangchen Inc | Durable Medical Equipment & Medical Supplies | 9215 151st Ave Ne, Redmond, WA 98052-3511 | 2020-06-17 |
| 1023648425 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 230 S 15th St Ste B, Mount Vernon, WA 98274-4570 | 2020-01-24 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1457810822 | Sleep Orbit | Durable Medical Equipment & Medical Supplies | 16201 E Indiana Ave Ste 1111, Spokane Valley, WA 99216-2838 | 2019-03-15 |
| 1588196794 | Arris Health Services LLC | Durable Medical Equipment & Medical Supplies | 4002 Tacoma Mall Blvd, Suite 204, Tacoma, WA 98409-7702 | 2017-03-28 |
| 1720523103 | Pinnacle Healthcare Center, Pllc | Durable Medical Equipment & Medical Supplies | 2309 W. Dolarway Rd, Ste. 2, Ellensburg, WA 98926-8087 | 2016-12-21 |
| 1629444047 | Sound Oxygen Service LLC | Durable Medical Equipment & Medical Supplies | 18905 33rd Ave W Ste 111, Lynnwood, WA 98036-4716 | 2015-08-19 |
| 1407231988 | Valuplus Home Health Care Center, Inc | Durable Medical Equipment & Medical Supplies | 1737 N Wenatchee Ave, Suite D, Wenatchee, WA 98801-1189 | 2015-07-24 |
| 1720496912 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 954 Anderson Dr Ste 109, Aberdeen, WA 98520-1001 | 2014-07-31 |
| 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.