WASHINGTON STATE UNIVERSITY


Address: 1125 Se Washington Street, Pullman, WA 99163
Phone: 5093355742

WASHINGTON STATE UNIVERSITY (NPI# 1427105030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427105030
Entity Type Organization
Organization Name WASHINGTON STATE UNIVERSITY
Other Organization Name WSU COUGAR HEALTH SERVICES PHARMACY
Practice Address 1125 Se Washington Street
Pullman
WA 99163
Mailing Address Po Box 642302
1125 Se Washington Street
Pullman
WA 99164-2302
Practice Telephone 5093355742
Practice Fax Number 5093355745
Mailing Telephone 5093355742
Mailing Fax Number 5093355745
Enumeration Date 2007-01-04
Last Update Date 2018-05-31
Authorized Official Name MR. GORDON B HEDENSTROM (PHARMACY MANAGER)
Authorized Official Telephone 5093355742
Authorized Official Credential PHARMACIST
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
CF0056228 WA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
WA DEA FH4454271 01
WA 6012942 05
WA NABP 4926537 01

Other Provider/Organization Names

Other Name Type Code
WSU Cougar Health Services Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154949733 Washington State University Clinical Medical Laboratory Bustad Hall Room 155n, Pullman, WA 99164-0001 2020-07-09
1760909055 Washington State University Family Medicine 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 2017-08-28
1861866535 Washington State University Psychologist 305 Ne Troy Mall, Pullman, WA 99164 2015-11-18
1962559054 Washington State University Audiologist Daggy Hall, Room 133, Pullman, WA 99164-2420 2007-01-04
1285713776 Washington State University Family Medicine 1125 Se Washington Street, Pullman, WA 99164-2302 2006-11-03
1225525090 Washington State University Health Educator 1919 Ne 78th St, Vancouver, WA 98665 2018-04-17
1487671194 Washington State University Nurse Practitioner 829 W Broadway Ave, Spokane, WA 99201-2117 2006-07-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WASHINGTON STATE UNIVERSITY 240 French Administration Bldg, Pullman, WA 99164-0001
Washington State Corporations WASHINGTON STATE UNIVERSITY ALUMNI ASSOCIATION Lewis Alumni Centre, 1 Grimes Way, Pullman, WA 99164-6150
Oregon Corporations, Companies and Business Names WASHINGTON STATE UNIVERSITY FOUNDATION 255 E Main Ste 201, Pullman, WA 99163
Washington State Corporations WASHINGTON STATE UNIVERSITY FOUNDATION 255 E Main St # 201, Pullman, WA 99164
Washington State Corporations WASHINGTON STATE UNIVERSITY LAMBDA PHI EPSILON ALUMNI ASSOCIATION 3107 170th St Sw, Lynnwood, WA 98037
Washington State Corporations WASHINGTON STATE UNIVERSITY REAL ESTATE HOLDINGS 1230 Se Bishop Blvd, Pullman, WA 99163

Office Location

Street Address 1125 SE WASHINGTON STREET
City PULLMAN
State WA
Zip Code 99163

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285713776 Washington State University Family Medicine 1125 Se Washington Street, Pullman, WA 99164-2302 2006-11-03
1942541859 Abby Myers Howard Physician Assistant 1125 Se Washington Street, Po Box 642302, Pullman, WA 99164 2013-03-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003445255 Jennifer Beattie Specialist/Technologist 1360 Cougar Way, Pullman, WA 99163 2020-04-08
1245715788 Chirs Sader Specialist/Technologist Cougar Way, Bohler Addition, Pullman, WA 99163 2018-10-01
1588158307 Stefanie Clark Massage Therapist 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 2018-06-15
1023523859 Madeleine Degrasse Specialist/Technologist 1580 Ne Cougar Way, 265, Coleman, WA 99163 2017-12-01
1720517188 Chelsea Michelle Luna Specialist/Technologist 705 Nw State St, Pullman, WA 99163 2017-06-08
1649706185 Travis Reid Edwards Specialist/Technologist 1455 Ne Colorado St, Pullman, WA 99163 2017-05-03
1053775403 Anna Grindeland Dietitian, Registered 555 Se Water St, Pullman, WA 99163 2016-04-12
1487991741 Yoko Jingi Specialist/Technologist 1225 S Grand Ave., Pullman, WA 99163 2013-01-07
1003151572 Jessie M Armstrong Speech-Language Pathologist 1805 Nw Canyonview Drive, Pullman, WA 99163 2012-12-10
1679827877 Schweitzer Engineering Laboratories Clinic/Center 2440 Ne Hopkins Ct., Pullman, WA 99163 2012-11-09
Find all providers in zip 99163

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023678240 Washington Institute for Coagulation Pharmacy 921 Terry Ave Ste A, Seattle, WA 98104-1239 2019-06-19
1093274458 Ksr Health Care LLC Pharmacy 507 Stevens Avenue, Suite Aaa, Sultan, WA 98294 2019-03-15
1184171704 Pharmacy Corporation of America Pharmacy 18110 Se 34th St Bldg 2, Vancouver, WA 98683-9440 2016-09-01
1770995722 Healthpoint Pharmacy 13030 Military Rd S Ste 206, Tukwila, WA 98168-3080 2014-05-27
1447678875 Community Health Center of Snohomish County Pharmacy 23300 Highway 99, Edmonds, WA 98026-8744 2014-04-02
1982025128 Seattle Cancer Care Alliance Pharmacy 1560 N 115th St Ste G-16a, Seattle, WA 98133-8414 2013-12-13
1598190597 Sea Mar Community Health Centers Pharmacy 1920 100th St Se Ste B, Everett, WA 98208-3832 2013-09-09
1326472234 Lourdes West Pasco Pharmacy Pharmacy 7425 Wrigley Dr Ste 104, Pasco, WA 99301-5292 2013-08-27
1386089761 Unity Care Northwest Pharmacy 218 Unity St, Bellingham, WA 98225-4420 2013-04-30
1619205267 Puget Sound Pharmacy LLC Pharmacy 1112 6th Ave Ste 101, Tacoma, WA 98405-4048 2009-11-19
Find all providers with the same taxonomy

Competitor

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City PULLMAN
Zip Code 99163

Improve Information

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Dataset Information

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.

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