INDEPENDENCE PHARMACY, INC (NPI# 1336108711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336108711 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE PHARMACY, INC |
| Other Organization Name | HI-SCHOOL PHARMACY #2700 |
| Practice Address |
1357 Monmouth St Independence OR 97351-1126 |
| Mailing Address |
916 W Evergreen Blvd Vancouver WA 98660-3035 |
| Practice Telephone | 5038382195 |
| Practice Fax Number | 5038383129 |
| Mailing Telephone | 3602132236 |
| Mailing Fax Number | 3602132238 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | MR. JACK L HOLT (OWNER) |
| Authorized Official Telephone | 5038382195 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | RP0000952CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 3808839 | 01 | |
| OR | 142943 | 05 |
| Other Name | Type Code |
|---|---|
| Hi-School Pharmacy #2700 | Other Name - Individual/Organization |
| Street Address |
1357 MONMOUTH ST |
| City | INDEPENDENCE |
| State | OR |
| Zip Code | 97351-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959959 | Terry J Crowder | Pharmacist | 1357 Monmouth St, Independence, OR 97351-1126 | 2020-10-15 |
| 1912375825 | Andrew Vanderwall | Pharmacist | 1357 Monmouth St, Independence, OR 97351-1126 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868515 | Independence-monmouth Family Medicine PC | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1821070111 | Kenneth R Winokur | Dentist | 329 South Main St, Independence, OR 97351 | 2005-11-14 |
| 1710044144 | Kenneth R Winokur Dmd PC | Dentist | 329 S Main St, Independence, OR 97351 | 2007-01-03 |
| 1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
| 1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
| 1518127844 | David Patrick Mcdarby | Physical Therapist | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1881854115 | Bobbi Jo Shrum | Physical Therapy Assistant | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1639426208 | Central School District 13j | Local Education Agency (LEA) | 1610 Monmouth St, Independence, OR 97351-1008 | 2012-08-13 |
| 1851645931 | Holli Watkin | Nurse Practitioner | 1601 Monmouth St Ste 100, Independence, OR 97351-1019 | 2012-10-29 |
| Find all providers in zip 97351 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790918639 | B Y Enterprises Inc | Pharmacy | 19321 E Us Highway 40 Ste P, Independence, MO 64055-5486 | 2009-08-26 |
| 1902958531 | Auburn Pharmacy, Inc. | Pharmacy | 16611 E 23rd St S, Independence, MO 64055-1922 | 2007-01-16 |
| 1265506786 | Lamp Food Stores Inc | Pharmacy | 2301 S Sterling Ave, Independence, MO 64052-3666 | 2006-11-17 |
| 1114000296 | Pauls Pharmacy Inc | Pharmacy | 345 W Railroad Ave, Independence, LA 70443-2292 | 2006-10-23 |
| 1285724336 | Petes Family Pharmacy LLC | Pharmacy | 539 W Railroad Ave, Independence, LA 70443 | 2006-10-12 |
| 1982615498 | Robcin Enterprises Inc | Pharmacy | 11724 E 23rd St S, Independence, MO 64050-4204 | 2006-08-10 |
| 1225074610 | Discount Drug Mart Inc | Pharmacy | 6160 Brecksville Rd, Independence, OH 44131-1504 | 2006-06-22 |
| 1073589032 | Guyll Pharmacy Inc | Pharmacy | 400 N Penn Ave, Independence, KS 67301-3012 | 2006-02-28 |
| 1013062090 | Ivna Medical Group LLC | Pharmacy | 4811 S Arrowhead Dr, Independence, MO 64055-6981 | 2007-01-23 |
| 1184721011 | Woodys Pharmacy Inc | Pharmacy | 576 E Main St, Independence, VA 24348-3879 | 2006-09-20 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 97351 |
Please comment or provide details below to improve the information on INDEPENDENCE PHARMACY, INC.
| 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.