KIRKS DRUG INC (NPI# 1598903940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598903940 |
| Entity Type | Organization |
| Organization Name | KIRKS DRUG INC |
| Other Organization Name | KIRKS AT BHR |
| Practice Address |
4422 6th Ave Se Lacey WA 98503-1020 |
| Practice Telephone | 3604562030 |
| Practice Fax Number | 3604562318 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | JIM RODGERS (GENERAL MANAGER) |
| Authorized Official Telephone | 3604565475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
60062942 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6016646 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4933164 | 01 |
| Other Name | Type Code |
|---|---|
| Kirks at BHR | Doing Business As Name - Organization |
| Street Address |
4422 6TH AVE SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078373 | Christopher Charles Staeheli | Psychiatry & Neurology | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2005-07-22 |
| 1275715120 | Robert Brian Noonan | Registered Nurse | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2007-12-03 |
| 1174681597 | Claudia David | Counselor | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-12-05 |
| 1700950557 | Gary J Fredericksen | Counselor | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-11-20 |
| 1851463095 | Victoria Lynn Davis | Counselor | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-11-14 |
| 1780766055 | Dwight Frances Bushue | Registered Nurse | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-10-19 |
| 1457432932 | Marne Helen Nelson | Registered Nurse | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-10-18 |
| 1477569705 | Mark S Samson I | Psychiatry & Neurology | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| 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] |
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|---|---|---|---|---|
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| 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.