MEDICINE MAN LIBERTY LAKE
NPI 1326142373
Pharmacy - Long Term Care Pharmacy in Liberty Lake, WA

Active since September 12, 2006
23801 E APPLEWAY AVE, STE 260B, LIBERTY LAKE, WA 99019(509) 755-3333(509) 755-3337 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medicine Man Liberty Lake NPPES

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

MEDICINE MAN LIBERTY LAKE (NPI 1326142373) is a healthcare organization registered as a long term care pharmacy in Liberty Lake, Washington and active in the NPI registry since September 2006. The organization lists John Amini, Owner And Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1326142373
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameHALCYON RX INC
Location Address23801 E APPLEWAY AVE, STE 260BLiberty Lake, WA 99019-9687
Mailing Address23801 E Appleway Ave, Ste 260bLiberty Lake, WA 99019-9687 · (509) 755-3333 · Fax (509) 755-3337
Fax(509) 755-3337
Organization SubpartNo
Authorized OfficialJohn AminiOwner And Pharmacist · (509) 755-3333
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 12, 2008
NPI 1326142373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in WA · FL0341254
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License FL0341254 (WA)
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X · License FL0341254 (WA)
23801 E APPLEWAY AVE, Liberty Lake, WA 99019

Other Names 1

Doing Business AsMedicine Man Liberty Lake

Other Identifiers 3

Other4931463Other Id Number-commercial Number
Medicaid6024178WA
Medicare NSC5004880001WA

Other Providers at the Same Location NPPES 5

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

Massage Therapist
23801 E APPLEWAY AVE, SUITE 110
LIBERTY LAKE, WA 99019
Pharmacy
23801 E APPLEWAY AVE, STE 260
LIBERTY LAKE, WA 99019
Massage Therapist
23801 E APPLEWAY AVE, SUITE 110
LIBERTY LAKE, WA 99019
Pharmacy (Community/Retail Pharmacy)
23801 E APPLEWAY AVE, STE 260
LIBERTY LAKE, WA 99019
Chiropractor
23801 E APPLEWAY AVE, 110
LIBERTY LAKE, WA 99019

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 Halcyon Rx Inc's NPI number?

The NPI number for Halcyon Rx Inc is 1326142373. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as Medicine Man Liberty Lake.

Where is Halcyon Rx Inc located?

Halcyon Rx Inc is located at 23801 E Appleway Ave Ste 260B, Liberty Lake, WA 99019. The listed phone number is (509) 755-3333.

What is Halcyon Rx Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Halcyon Rx Inc was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.