K-C PHARMACY INC
NPI 1467533687
Pharmacy - Community/Retail Pharmacy in Goldendale, WA

Q: What is K-C Pharmacy Inc's NPI number?

The NPI number for K-C Pharmacy Inc is 1467533687. It was assigned to this organization in the NPPES registry on October 17, 2006.

Q: What is K-C Pharmacy Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for K-C Pharmacy Inc was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2006CLIA 50D2254095 · Waiver

104 W MAIN ST, GOLDENDALE, WA 98620(509) 773-4344(509) 773-4555 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 15, 2022, Nov 3, 2021, Dec 6, 2019 and 1 more (4 updates tracked since 2019).

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About K-c Pharmacy Inc NPPES

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

K-C PHARMACY INC (NPI 1467533687) is a healthcare organization registered as a community/retail pharmacy in Goldendale, Washington and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jeffrey Shane Harrell, Vice President, as its authorized official.

NPPES Registry Identity

NPI1467533687

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameK-C PHARMACY INC

Location Address104 W MAIN STGoldendale, WA 98620-9589

Mailing Address104 W Main StGoldendale, WA 98620-9589 · (509) 773-4344 · Fax (509) 773-4555

Phone(509) 773-4344

Fax(509) 773-4555

Organization SubpartNo

Authorized OfficialJeffrey Shane HarrellVice President · (509) 773-4344

Enumeration DateOctober 17, 2006

Last NPPES UpdateFebruary 15, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2022

✔ NPI 1467533687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WA · CF00002121

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.

104 W MAIN ST, Goldendale, WA 98620

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Other Names 2

Doing Business AsK-c Pharmacy Inc

Doing Business AsGoldendale Pharmacy

Other Identifiers 2

Other4910700Ncpdp Provider Identification Number

Medicaid611904WA

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 Arkansas Health & Wellness 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 50D2254095

K-C Pharmacy · Goldendale, WA

Active · expires Apr 4, 2028

CLIA Number50D2254095

Laboratory TypePharmacy

Certificate Effective DateFebruary 28, 2022

Certificate Expiration DateApril 4, 2028

Laboratory DirectorJacqueline Eide

Laboratory Phone(509) 773-4344

Laboratory LocationK-C PharmacyGoldendale Pharmacy Address: Public Mail, Goldendale, WA 98620

CLIA data matches this NPI record on: 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.

283 services278 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.

272 services272 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.

21 services21 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

Other Providers at the Same Location NPPES 8

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

K-C PHARMACY INC

Family Medicine