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CENTRALIA PHARMACY
NPI 1336686039
Pharmacy - Community/Retail Pharmacy in Centralia, WA

Active since January 19, 2017CLIA 50D2254902 · Waiver
417 S TOWER AVE, CENTRALIA, WA 98531(360) 736-5000(360) 736-9433 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2017, Feb 23, 2017, Jan 20, 2017 (3 updates tracked since 2017).

About Centralia Pharmacy NPPES

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

CENTRALIA PHARMACY (NPI 1336686039) is a healthcare organization registered as a community/retail pharmacy in Centralia, Washington and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jeff Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1336686039
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCENTRALIA PHARMACY GROUP, INC.
Location Address417 S TOWER AVECentralia, WA 98531-3917
Mailing AddressPo Box BIlwaco, WA 98624-0167 · (360) 244-5984 · Fax (888) 788-5384
Phone(360) 736-5000
Fax(360) 736-9433
Organization SubpartNo
Authorized OfficialJeff HarrellPresident · (360) 244-5984
Enumeration DateJanuary 19, 2017
Last NPPES UpdateMarch 31, 20223 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1336686039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
417 S TOWER AVE, Centralia, WA 98531
Open in Google Maps ↗

Other Names 1

Doing Business AsCentralia Pharmacy

Other Identifiers 2

Medicaid2077225WA
OtherG8965128WA · Ptan

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 50D2254902

Centralia Pharmacy · Centralia, WA
Active · expires Apr 4, 2028
CLIA Number50D2254902
Laboratory TypePharmacy
Certificate Effective DateMarch 8, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCourtney Quinby
Laboratory Phone(360) 736-5000
Laboratory LocationCentralia Pharmacy417 S Tower Ave, Centralia, WA 98531
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
180 services175 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
165 services165 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
17 services17 patients

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.

HALLS DRUG CENTER INC.
Pharmacy (Community/Retail Pharmacy)
417 S TOWER AVE
CENTRALIA, WA 98531
Lewis County (360) 736-4433
COURTNEY MORGAN QUINBY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
417 S TOWER AVE
CENTRALIA, WA 98531
Lewis County (360) 736-5000
HALLS DRUG CENTER INC
Pharmacy (Community/Retail Pharmacy)
417 S TOWER AVE, SUITE 2
CENTRALIA, WA 98531
Lewis County (360) 736-5000
CENTRALIA PHARMACY GROUP, INC.
Pharmacy (Long Term Care Pharmacy)
417 S TOWER AVE
CENTRALIA, WA 98531
Lewis County (360) 736-5000
BRAD ANTHONY DYKSTRA PHARMD
Pharmacist
417 S TOWER AVE
CENTRALIA, WA 98531
Lewis County (360) 736-4433

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 Centralia Pharmacy Group, Inc.'s NPI number?

The NPI number for Centralia Pharmacy Group, Inc. is 1336686039. It was assigned to this organization in the NPPES registry on January 19, 2017. The provider is doing business as Centralia Pharmacy.

Where is Centralia Pharmacy Group, Inc. located?

Centralia Pharmacy Group, Inc. is located at 417 S Tower Ave, Centralia, WA 98531. The listed phone number is (360) 736-5000.

What is Centralia Pharmacy Group, Inc.'s specialty?

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

Does Centralia Pharmacy Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2254902) 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 Centralia Pharmacy Group, 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 Centralia Pharmacy Group, 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 Centralia Pharmacy Group, Inc. was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.