KITTITAS COUNTY PUBLIC HOSP DIST 1 (NPI# 1528507464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528507464 |
| Entity Type | Organization |
| Organization Name | KITTITAS COUNTY PUBLIC HOSP DIST 1 |
| Practice Address |
603 S Chestnut St Ellensburg WA 98926 |
| Mailing Address |
603 S Chestnut St Ellensburg WA 98926-3875 |
| Practice Telephone | 5099258484 |
| Practice Fax Number | 5099258485 |
| Mailing Telephone | 5099258484 |
| Mailing Fax Number | 5099258485 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | JULIE PETERSEN (INTERIM CEO) |
| Authorized Official Telephone | 5099627301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60588203 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2165866 | 01 | |
| WA | 2077649 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215487210 | Kittitas County Public Hosp Dist 1 | Pharmacy | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2016-10-13 |
| Street Address |
603 S CHESTNUT ST |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629051974 | Kenneth Duane Larson | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2005-11-21 |
| 1669094108 | Nicholas E Anderson | Student in an Organized Health Care Education/Training Program | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2020-05-06 |
| 1568017119 | Marshall Giovannini | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2019-08-09 |
| 1972159549 | Adam Camargo | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2019-08-09 |
| 1164077095 | Salvador Camargo | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2019-08-07 |
| 1477044873 | Ceri Ann Betts | Speech-Language Pathologist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2018-05-22 |
| 1215445432 | Marquetta Sharre Washington | Nurse Practitioner | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2018-01-22 |
| 1003348699 | Lindsey Pinger | Pharmacist | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2017-04-01 |
| 1215487210 | Kittitas County Public Hosp Dist 1 | Pharmacy | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2016-10-13 |
| 1649639014 | Kittias County Public Hospital District #1 | Clinic/Center | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242576 | Whole Health Pharmacy LLC | Pharmacy | 800 S Pearl St Ste 1, Ellensburg, WA 98926-3655 | 2019-02-27 |
| 1770035339 | Kittitas County Public Hospital District #1 | Pharmacy | 603 S. Chestnut St, Ellensburg, WA 98926 | 2016-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493533 | Doctors Pharmacy, LLC | Pharmacy | 65 Columbia Point Dr, Richland, WA 99352-4375 | 2020-09-25 |
| 1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on KITTITAS COUNTY PUBLIC HOSP DIST 1.
| 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.