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MEDICAL LAKE OWL PHARMACY
NPI 1316026297
Pharmacy - Community/Retail Pharmacy in Medical Lake, WA

Active since November 03, 2006CLIA 50D2162618 · Waiver
123 E LAKE ST, MEDICAL LAKE, WA 99022(509) 299-5113(509) 299-9125 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medical Lake Owl Pharmacy NPPES

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

MEDICAL LAKE OWL PHARMACY (NPI 1316026297) is a healthcare organization registered as a community/retail pharmacy in Medical Lake, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Amanda Goyke, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1316026297
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCHENEY OWL PHARMACY INC
Location Address123 E LAKE STMedical Lake, WA 99022
Mailing AddressPo Box 638Medical Lake, WA 99022-0638
Phone(509) 299-5113
Fax(509) 299-9125
Organization SubpartNo
Authorized OfficialAmanda GoykeOwner/ President · (509) 235-8441
Enumeration DateNovember 3, 2006
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1316026297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WA · PHARCF00001876
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
123 E LAKE ST, Medical Lake, WA 99022
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Other Names 1

Doing Business AsMedical Lake Owl Pharmacy

Other Identifiers 2

Other2107931Pk
Medicaid6067201WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 50D2162618

Cheney Owl Pharmacy · Cheney, WA
Active · expires Apr 4, 2028
CLIA Number50D2162618
Laboratory TypePharmacy
Certificate Effective DateFebruary 26, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmanda Goyke
Laboratory Phone(509) 235-8441
Laboratory LocationCheney Owl Pharmacy120 F St, Cheney, WA 99004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MS. ERIKA DAWN MILLER PHARMD
Pharmacist
123 E LAKE ST
MEDICAL LAKE, WA 99022
Spokane County (509) 299-5113
DR. STEVEN GILFRY BELLEFEUILLE PHARMD
Pharmacist
123 E LAKE ST
MEDICAL LAKE, WA 99022
Spokane County (509) 299-5113

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 Cheney Owl Pharmacy Inc's NPI number?

The NPI number for Cheney Owl Pharmacy Inc is 1316026297. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Medical Lake Owl Pharmacy.

Where is Cheney Owl Pharmacy Inc located?

Cheney Owl Pharmacy Inc is located at 123 E Lake St, Medical Lake, WA 99022. The listed phone number is (509) 299-5113.

What is Cheney Owl Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Cheney Owl Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2162618) 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 Cheney Owl Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Cheney Owl 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 Cheney Owl Pharmacy Inc was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.