SOUTH BEND PHARMACY
NPI 1417036997
Pharmacy - Community/Retail Pharmacy in South Bend, WA

Active since November 03, 2006
101 WILLAPA AVE, SOUTH BEND, WA 98586(360) 875-5757(360) 875-6021 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Bend Pharmacy NPPES

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

SOUTH BEND PHARMACY (NPI 1417036997) is a healthcare organization registered as a community/retail pharmacy in South Bend, Washington and active in the NPI registry since November 2006. The organization lists Dave Cox, Owner, as its authorized official.

NPPES Registry Identity

NPI1417036997
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWILLAPA HARBOR PHARMACIES INC
Location Address101 WILLAPA AVESouth Bend, WA 98586
Mailing AddressPo Box 395South Bend, WA 98586-0395 · (360) 875-5757 · Fax (360) 875-6021
Fax(360) 875-6021
Organization SubpartNo
Authorized OfficialDave CoxOwner · (360) 875-5757
Enumeration DateNovember 3, 2006
Last NPPES UpdateMay 3, 2018
NPI 1417036997 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 · CF.60061411
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
101 WILLAPA AVE, South Bend, WA 98586

Other Names 1

Doing Business AsSouth Bend Pharmacy

Other Identifiers 2

Medicaid6107007WA
Other2107430Pk

Accepted Insurance

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.
380 services379 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
362 services361 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.
16 services16 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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Willapa Harbor Pharmacies Inc carries, from the Medicare DMEPOS supplier directory.

Willapa Harbor Pharmacies Inc

DMEPOS supplier · South Bend, WA

Accepts Medicare assignment

Willapa Harbor Pharmacies Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20613515
Medicare Participant SinceOctober 1, 2001
Supplier Location101 Willapa AvenueSouth Bend, WA 98586
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Pharmacist
101 WILLAPA AVE
SOUTH BEND, WA 98586
Pharmacist
101 WILLAPA AVE
SOUTH BEND, WA 98586

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 Willapa Harbor Pharmacies Inc's NPI number?

The NPI number for Willapa Harbor Pharmacies Inc is 1417036997. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as South Bend Pharmacy.

Where is Willapa Harbor Pharmacies Inc located?

Willapa Harbor Pharmacies Inc is located at 101 Willapa Ave, South Bend, WA 98586. The listed phone number is (360) 875-5757.

What is Willapa Harbor Pharmacies Inc's specialty?

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

Does Willapa Harbor Pharmacies Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Willapa Harbor Pharmacies Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Willapa Harbor Pharmacies 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 Willapa Harbor Pharmacies 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 Willapa Harbor Pharmacies Inc was last updated on May 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.