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CHINOOK PHARMACY INC
NPI 1023701026
Pharmacy - Long Term Care Pharmacy in Forks, WA

Active since May 26, 2023CLIA 50D2254992 · Waiver
11 S FORKS AVE, FORKS, WA 98331(360) 374-2294(360) 374-5057 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2025, Oct 8, 2024, May 26, 2023 (3 updates tracked since 2023).

About Chinook Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHINOOK PHARMACY INC (NPI 1023701026), doing business as Chinook Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Forks, Washington and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jeffrey Shane Harrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1023701026
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCHINOOK PHARMACY INC
Location Address11 S FORKS AVEForks, WA 98331-9006
Mailing AddressPo Box 2136Forks, WA 98331-2136 · (360) 374-2294 · Fax (360) 374-5057
Phone(360) 374-2294
Fax(360) 374-5057
Organization SubpartNo
Authorized OfficialJeffrey Shane HarrellOwner · (360) 859-8659
Enumeration DateMay 26, 2023
Last NPPES UpdateDecember 20, 20253 updates tracked since enumeration
NPPES CertifiedDecember 20, 2025
✔ NPI 1023701026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
11 S FORKS AVE, Forks, WA 98331
Open in Google Maps ↗

Other Names 1

Doing Business AsChinook Pharmacy Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2254992

Chinook Pharmacy And Variety · Forks, WA
Active · expires Apr 4, 2028
CLIA Number50D2254992
Laboratory TypePharmacy
Certificate Effective DateMarch 9, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJosuah Tilus
Laboratory Phone(360) 374-2294
Laboratory LocationChinook Pharmacy And Variety11 S Forks Ave PO Box 2136, Forks, WA 98331
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHINOOK PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-2294
MR. CHARLES EDWARD CARLSON RPH
Pharmacist
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-2294
MR. STANLEY OSCAR PETERSON RPH
Pharmacist
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-5111
BRADLEY MYRON BROWN
Pharmacist
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-2294
JOSUAH TILUS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-2294
MS. LINDA A PETERSON RPH
Pharmacist
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-5111
CHINOOK PHARMACY INC
Durable Medical Equipment & Medical Supplies
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-2294
BAILEY MAE POWERS
Pharmacist
11 S FORKS AVE
FORKS, WA 98331
Clallam County (360) 374-2294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chinook Pharmacy Inc's NPI number?

The NPI number for Chinook Pharmacy Inc is 1023701026. It was assigned to this organization in the NPPES registry on May 26, 2023. The provider is doing business as Chinook Pharmacy LTC.

Where is Chinook Pharmacy Inc located?

Chinook Pharmacy Inc is located at 11 S Forks Ave, Forks, WA 98331. The listed phone number is (360) 374-2294.

What is Chinook Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Chinook Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2254992) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chinook Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Chinook Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chinook Pharmacy Inc was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.