SCHWAB'S COMPOUNDING PHARMACY, INC (NPI# 1538216619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538216619 |
| Entity Type | Organization |
| Organization Name | SCHWAB'S COMPOUNDING PHARMACY, INC |
| Practice Address |
108 B Railroad Ave. Kittitas WA 98934 |
| Mailing Address |
Po Box 757 Ellensburg WA 98926-0757 |
| Practice Telephone | 5099689545 |
| Practice Fax Number | 5099623013 |
| Mailing Telephone | 5099689545 |
| Mailing Fax Number | 5099623013 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. GRAIG SCHWAB (OWNER) |
| Authorized Official Telephone | 5099689545 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
FO00058330 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UBI | 192002748 | 01 |
| WA | 6058200 | 05 |
| Street Address |
108 B RAILROAD AVE. |
| City | KITTITAS |
| State | WA |
| Zip Code | 98934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528322138 | Graig V Schwab | Pharmacist | 108b E. Railroad Ave, Kittitas, WA 98934 | 2012-06-28 |
| 1154566750 | Kittitas County Head Start/eceap | Early Intervention Provider Agency | 507 North Pierce Street, Kittitas, WA 98934 | 2008-12-10 |
| 1104996388 | Kittitas School District | Local Education Agency (LEA) | 505 North Pierce St, Kittitas, WA 98934 | 2006-11-08 |
| 1922013549 | Schwabs Compounding Pharmacy | Pharmacy | 108 B Railroad Ave, Kittitas, WA 98934 | 2006-07-30 |
| 1306187927 | Colleen Sarah Mathias | Speech-Language Pathologist | 505 N. Pierce Street, Kittitas, WA 98934-0599 | 2013-03-06 |
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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| 1578760260 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 1815 N. 45th Street, Suite 110, Seattle, WA 98103 | 2007-06-27 |
| 1528199619 | Don's Pharmacy Inc. | Pharmacy | 1151 Water St, Port Townsend, WA 98368-6707 | 2007-03-08 |
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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.