QUINCY COMMUNITY HEALTH CENTER PHARMACY (NPI# 1629564679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629564679 |
| Entity Type | Organization |
| Organization Name | QUINCY COMMUNITY HEALTH CENTER PHARMACY |
| Practice Address |
1450 1st Ave Sw Quincy WA 98848-1695 |
| Mailing Address |
605 S Coolidge St Moses Lake WA 98837-1893 |
| Practice Telephone | 5097876423 |
| Practice Fax Number | 5097640344 |
| Mailing Telephone | 5097650674 |
| Mailing Fax Number | 5097640344 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | SHEILA CHILSON (CEO) |
| Authorized Official Telephone | 5097668971 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOSES LAKE COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PENDING | WA | Suppliers |
| Street Address |
1450 1ST AVE SW |
| City | QUINCY |
| State | WA |
| Zip Code | 98848-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013535566 | Ruben Omar Reyes | Dentist | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2020-07-10 |
| 1316422512 | Alexa April Blake | Case Manager/Care Coordinator | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2018-10-03 |
| 1275012353 | Quincy Community Health Center | Clinic/Center | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2018-08-09 |
| 1619491651 | Cheryl M Hein | Counselor | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2017-08-01 |
| 1881122687 | Lourdes Y Lopez | Community Health Worker | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2017-05-24 |
| 1407262215 | Broc Gundersen | Dentist | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2014-07-02 |
| 1477968436 | Justin Stoltzfus | Nurse Practitioner | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2014-06-27 |
| 1720499445 | Rachel Erin Gaspard | Nurse Practitioner | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2014-05-15 |
| 1669711685 | Simrat Saran | Family Medicine | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2013-02-12 |
| 1275806598 | Stephanie Mills | Pharmacist | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2012-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346723202 | Robert Eugene Bates | Counselor | 203 Central Ave So, Quincy, WA 98848 | 2018-09-07 |
| 1033691100 | Hector Ismael Zavala | Counselor | 203 So. Central Ave, Quincy, WA 98848 | 2018-09-05 |
| 1871097220 | Maricella Salazar | Counselor | 203 South Central, Quincy, WA 98848 | 2018-03-21 |
| 1982132577 | Madison Gonzalez | Counselor | 203 So. Central, Quincy, WA 98848 | 2017-05-26 |
| 1558806513 | Karla Daniela Morga | Massage Therapist | 21 D St. Sw, Suite B3, Quincy, WA 98848 | 2016-12-30 |
| 1336458967 | Darrin Mitsuo Tamanaha | Dentist | 1450 First Avenue Sw, Quincy, WA 98848 | 2010-09-30 |
| 1104987189 | Steven Allen Adler | Massage Therapist | 723 Central Ave Sw, Quincy, WA 98848 | 2006-12-13 |
| 1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
| 1679684955 | Pamela Jean Duggan | Counselor | 21 D St Sw Suite B-3, Quincy, WA 98848 | 2006-08-31 |
| 1255448650 | Wallace Allyn Newkirk | Family Medicine | 908 Tenth Ave Sw, Quincy, WA 98848 | 2006-08-23 |
| Find all providers in zip 98848 | ||||
| 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 |
|---|---|---|---|---|
| 1851424485 | Atrius Health, Inc | Pharmacy | 1250 Hancock St, Quincy, MA 02169-4339 | 2007-03-13 |
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|---|---|---|---|---|
| 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 |
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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.