HALLS DRUG CENTER INC (NPI# 1770644353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770644353 |
| Entity Type | Organization |
| Organization Name | HALLS DRUG CENTER INC |
| Practice Address |
505 S Tower Ave Suite 2 Centralia WA 98531-3919 |
| Practice Telephone | 3607360703 |
| Practice Fax Number | 3607368489 |
| Mailing Telephone | 3607360703 |
| Mailing Fax Number | 3607368489 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | MR. WARREN A HALL (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3606078757 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | HALLS DRUG CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 211003611 | WA | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 211003611 | WA | Suppliers |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
211003611 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9034851 | 05 | |
| WA | 9049669 | 05 | |
| WA | 1018653 | 05 | |
| WA | 6012504 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821156266 | Halls Drug Center Inc | Durable Medical Equipment & Medical Supplies | 1200 Kresky Ave, Centralia, WA 98531-3734 | 2006-12-05 |
| 1396838512 | Halls Drug Center Inc | Pharmacy | 1805 Cooks Hill Rd, Centralia, WA 98531-9072 | 2006-10-02 |
| 1205929429 | Halls Drug Center Inc | Pharmacy | 505 S Tower Ave Ste 2b, Centralia, WA 98531-3919 | 2006-10-02 |
| 1588672661 | Halls Drug Center Inc | Pharmacy | 417 S Tower Ave, Suite 2, Centralia, WA 98531-3917 | 2006-08-04 |
| 1609053339 | Halls Drug Center Inc | Durable Medical Equipment & Medical Supplies | 1200 Kresky Ave, Centralia, WA 98531-3734 | 2008-01-24 |
| Street Address |
505 S TOWER AVE SUITE 2 |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821156266 | Halls Drug Center Inc | Durable Medical Equipment & Medical Supplies | 1200 Kresky Ave, Centralia, WA 98531-3734 | 2006-12-05 |
| 1609053339 | Halls Drug Center Inc | Durable Medical Equipment & Medical Supplies | 1200 Kresky Ave, Centralia, WA 98531-3734 | 2008-01-24 |
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| 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.