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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CF0056228 | WA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | DEA | FH4454271 | 01 |
WA | 6012942 | 05 | |
WA | NABP | 4926537 | 01 |
Other Name | Type Code |
---|---|
WSU Cougar Health Services Pharmacy | Doing Business As Name - Organization |
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 |
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 |
Street Address |
1125 SE WASHINGTON STREET |
City | PULLMAN |
State | WA |
Zip Code | 99163 |
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 |
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 Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
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] |
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 |
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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.