CHAS SOUTHGATE PHARMACY (NPI# 1912549254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912549254 |
Entity Type | Organization |
Organization Name | CHAS SOUTHGATE PHARMACY |
Other Organization Name | SOUTHGATE RETAIL PHARMACY |
Practice Address |
5620 S Regal St Ste 11 Spokane WA 99223-7957 |
Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
Practice Telephone | 5094448888 |
Practice Fax Number | 5092320666 |
Mailing Telephone | 5094448888 |
Enumeration Date | 2019-10-08 |
Last Update Date | 2020-08-21 |
Authorized Official Name | AARON WILSON (CEO) |
Authorized Official Telephone | 5094448888 |
Is Organization Subpart | Y |
Parent Organization Name | CHAS SOUTHGATE PHARMACY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2124174 | 05 |
Other Name | Type Code |
---|---|
CHAS Health | Doing Business As Name - Organization |
Southgate Retail Pharmacy | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043782626 | Chas Southgate Pharmacy | Pharmacy | 5620 S Regal St Ste 11, Spokane, WA 99223-7957 | 2018-12-20 |
Street Address |
5620 S REGAL ST STE 11 |
City | SPOKANE |
State | WA |
Zip Code | 99223-7957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407067317 | Community Health Association of Spokane | Clinic/Center | 5620 S Regal St Ste 11, Spokane, WA 99223-7957 | 2007-05-24 |
1043782626 | Chas Southgate Pharmacy | Pharmacy | 5620 S Regal St Ste 11, Spokane, WA 99223-7957 | 2018-12-20 |
1740625029 | Amanda R Oropeza | Family Medicine | 5620 S Regal St Ste 11, Spokane, WA 99223 | 2013-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
Find all providers in zip 99223 |
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 |
---|---|---|---|---|
1437328804 | Pharmacy Operations Inc | Pharmacy | 1327 W Northwest Blvd, Spokane, WA 99205-4315 | 2008-02-29 |
1407966047 | Costco Wholesale Corporation | Pharmacy | 12020 N Newport Hwy, Spokane, WA 99218 | 2006-08-30 |
1104838572 | Reidt Pharmacy Corperation | Pharmacy | 601 W Riverside Ave, Ste. 140, Spokane, WA 99201-0621 | 2006-08-13 |
1902811961 | Walgreen Co | Pharmacy | 1708 W Northwest Blvd, Spokane, WA 99205-3600 | 2006-07-29 |
1346854585 | Kennedy Marie Erickson | Pharmacy | 5840 N Division St, Spokane, WA 99208-1207 | 2020-09-04 |
1316581465 | Community Health Association of Spokane | Pharmacy | 5921 N Market St, Spokane, WA 99208-2484 | 2019-11-01 |
1174166557 | Community Health Association of Spokane | Pharmacy | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2019-10-18 |
1174166565 | Community Health Association of Spokane | Pharmacy | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-10-18 |
1831731454 | Spokane Urgent Care Pharmacy | Pharmacy | 5901 N Lidgerwood St Ste 126, Spokane, WA 99208-1122 | 2019-10-15 |
1457993719 | Chas North Central Pharmacy | Pharmacy | 914 W Carlisle Ave, Spokane, WA 99205-3309 | 2019-10-08 |
Find all providers in SPOKANE |
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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.