SOAS, LLC (NPI# 1952302382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952302382 |
| Entity Type | Organization |
| Organization Name | SOAS, LLC |
| Practice Address |
32170 State Route 20 Oak Harbor WA 98277-3774 |
| Mailing Address |
32170 State Route 20 Oak Harbor WA 98277-3719 |
| Practice Telephone | 3606756688 |
| Practice Fax Number | 3606751563 |
| Mailing Telephone | 3606756688 |
| Mailing Fax Number | 3606751563 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | MR. AARON MATTHEW SYRING (OWNER) |
| Authorized Official Telephone | 3606756688 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHAR.CF.60341892 | WA | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHAR.CF.60341892 | WA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHAR.CF.60341892 | WA | Suppliers |
| Y | 333600000X | Pharmacy | CF60341892 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FS3815000 | 01 | |
| WA | STATE LICENSE | CF60341892 | 01 |
| WA | 6175400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336117597 | Soas, LLC | Durable Medical Equipment & Medical Supplies | 8970 State Route 525, Clinton, WA 98236 | 2006-03-14 |
| 1578900270 | Soas, LLC | Pharmacy | 32170 State Route 20, Oak Harbor, WA 98277 | 2013-06-04 |
| Street Address |
32170 STATE ROUTE 20 |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039654 | Aaron Matthew Syring | Pharmacist | 32170 State Route 20, Oak Harbor, WA 98277-3719 | 2005-08-09 |
| 1578900270 | Soas, LLC | Pharmacy | 32170 State Route 20, Oak Harbor, WA 98277 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
| 1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
| 1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
| 1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
| Find all providers in zip 98277 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942231071 | Kmart of Washington LLC | Pharmacy | 32165 State Route 20, Oak Harbor, WA 98277-3774 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515644 | Allison Marie Hill | Pharmacy | 3 Spruce Ln, South Bend, WA 98586-9008 | 2020-07-20 |
| 1518504984 | Petersen Investments, LLC | Pharmacy | 12119 Ne 99th St Ste 2030, Vancouver, WA 98682-2461 | 2019-12-04 |
| 1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1518517101 | The Bartell Drug Co | Pharmacy | 2506 2nd Ave, Seattle, WA 98121-1427 | 2019-09-16 |
| 1457904625 | University of Washington | Pharmacy | 750 Republican St Bldg F, Seattle, WA 98109-4766 | 2019-07-17 |
| 1508348020 | The Bartell Drug Co | Pharmacy | 9010 Market Pl, Lake Stevens, WA 98258-4908 | 2018-08-31 |
| 1144710922 | Healthpoint | Pharmacy | 947 Powell Ave Sw Ste B, Renton, WA 98057-2975 | 2018-05-16 |
| 1093202087 | Sixth Avenue Medical Building Pharmacy | Pharmacy | 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 | 2018-04-16 |
| 1265935795 | The Bartell Drug Co | Pharmacy | 7423 204th St Ne, Arlington, WA 98223-8204 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
| City | OAK HARBOR |
| Zip Code | 98277 |
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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.