SOAS, LLC (NPI# 1336117597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336117597 |
| Entity Type | Organization |
| Organization Name | SOAS, LLC |
| Other Organization Name | ISLAND DRUG #1142 |
| Practice Address |
8970 State Route 525 Clinton WA 98236 |
| Mailing Address |
32170 State Route 20 Oak Harbor WA 98277-3719 |
| Practice Telephone | 3603413885 |
| Practice Fax Number | 3603413886 |
| Mailing Telephone | 3602132236 |
| Mailing Fax Number | 3602132238 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | MR. AARON M SYRING (OWNER/PHARMACIST) |
| Authorized Official Telephone | 3603413885 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NCPDP NUMBER | 4931312 | 01 |
| WA | L&I | 0195560 | 01 |
| WA | STATE PHARMACY LICENSE | CF00058260 | 01 |
| WA | 6028252 | 05 |
| Other Name | Type Code |
|---|---|
| Island Drug #1142 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578900270 | Soas, LLC | Pharmacy | 32170 State Route 20, Oak Harbor, WA 98277 | 2013-06-04 |
| 1952302382 | Soas, LLC | Durable Medical Equipment & Medical Supplies | 32170 State Route 20, Oak Harbor, WA 98277-3774 | 2005-08-09 |
| Street Address |
8970 STATE ROUTE 525 |
| City | CLINTON |
| State | WA |
| Zip Code | 98236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432028 | Crystal Ogle | Midwife | 7149 Maxwelton Rd., Clinton, WA 98236 | 2014-02-11 |
| 1760782825 | Brittany Ann Olsen-boblitt | Speech-Language Pathologist | 6442 Central Ave Ste C, Clinton, WA 98236 | 2010-10-23 |
| 1124358874 | June Elizabeth Polasek | Counselor | 3268 Hilberg Ln, Clinton, WA 98236 | 2009-12-31 |
| 1154385433 | Vicki R Werve | Nurse Practitioner | 11245 Sr 525, Clinton, WA 98236 | 2006-04-14 |
| 1154361590 | Whidbey Island Public Hospital District | Clinic/Center | 11245 Sr 525, Clinton, WA 98236 | 2006-06-07 |
| 1134345242 | Bradford S Weeks | Preventive Medicine | 6456 S Central Ave, Clinton, WA 98236-0740 | 2007-04-17 |
| 1588785612 | Kristin L Penn | Counselor | 4801 Deer Lake Rd Unit 101, Clinton, WA 98236-4005 | 2007-04-03 |
| 1124104484 | Andrew Shannon Neff | Psychologist | 4139 Beachmont Dr., Clinton, WA 98236-8411 | 2006-10-30 |
| 1114046539 | Dale B Christensen | Pharmacist | 4185 Redwood Dr, Clinton, WA 98236-8413 | 2007-03-28 |
| 1619475548 | Judith Ann Kenning | Registered Nurse | 4188 Winns Hollow Ln Unit 1, Clinton, WA 98236-8429 | 2018-01-25 |
| Find all providers in zip 98236 | ||||
| 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] |
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| 1063965101 | Jcm Enterprises Inc | Pharmacy | 910 N Charles G Seivers Blvd, Clinton, TN 37716-3816 | 2016-07-25 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1053702860 | Wal-mart Stores East Lp | Pharmacy | 9181 Highway 67, Clinton, LA 70722-4919 | 2015-02-16 |
| 1134543440 | Physicans Rx Pharmacy of Clinton Inc | Pharmacy | 9131 Piscataway Rd Ste 670, Clinton, MD 20735-2579 | 2014-02-06 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1184883019 | Walgreen Co | Pharmacy | 9001 Woody Ter Ste B, Clinton, MD 20735-4256 | 2008-06-05 |
| 1437362209 | Clinton Drugstore | Pharmacy | 1027 St Helena, Clinton, LA 70722-1027 | 2007-05-08 |
| Find all providers in CLINTON | ||||
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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.