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CLE ELUM PHARMACY
NPI 1487156121
Pharmacy - Community/Retail Pharmacy in Cle Elum, WA

Active since March 07, 2018
115 W 1ST ST, CLE ELUM, WA 98922(509) 852-0123(509) 852-4567 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2021, Jul 19, 2018, May 10, 2018 and 3 more (6 updates tracked since 2018).

About Cle Elum Pharmacy NPPES

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

CLE ELUM PHARMACY (NPI 1487156121) is a healthcare organization registered as a community/retail pharmacy in Cle Elum, Washington and active in the NPI registry since March 2018. The organization lists Virginia Kelly, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1487156121
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVIDISA LLC
Location Address115 W 1ST STCle Elum, WA 98922-1515
Mailing AddressPo Box 871Omak, WA 98841-0871 · (509) 322-7097
Phone(509) 852-0123
Fax(509) 852-4567
Organization SubpartNo
Authorized OfficialVirginia KellyOwner/partner · (509) 322-7097
Enumeration DateMarch 7, 2018
Last NPPES UpdateAugust 12, 20216 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1487156121 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 · PHAR.CF.6082533
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
115 W 1ST ST, Cle Elum, WA 98922
Open in Google Maps ↗

Other Names 1

Doing Business AsCle Elum Pharmacy

Other Identifiers 2

Other2176385Pk
Medicaid2099187WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Humana, Medica and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Cle Elum Pharmacy carries, from the Medicare DMEPOS supplier directory.

Cle Elum Pharmacy

DMEPOS supplier · Cle Elum, WAOperated by Vidisa LLC
✔

Accepts Medicare assignment

Cle Elum Pharmacy 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)20454905
Medicare Participant SinceMay 30, 2018
Supplier Location115 W 1st StCle Elum, WA 98922
Phone(509) 852-0123
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
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.

WHOLE HEALTH PHARMACY CLE ELUM LLC
Pharmacy (Community/Retail Pharmacy)
115 W 1ST ST
CLE ELUM, WA 98922
Kittitas County (509) 674-6800
WHOLE HEALTH PHARMACY CLE ELUM LLC
Pharmacy (Long Term Care Pharmacy)
115 W 1ST ST
CLE ELUM, WA 98922
Kittitas County (509) 674-6800

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 Vidisa LLC's NPI number?

The NPI number for Vidisa LLC is 1487156121. It was assigned to this organization in the NPPES registry on March 7, 2018. The provider is doing business as Cle Elum Pharmacy.

Where is Vidisa LLC located?

Vidisa LLC is located at 115 W 1st St, Cle Elum, WA 98922. The listed phone number is (509) 852-0123.

What is Vidisa LLC's specialty?

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

Does Vidisa LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cle Elum Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Vidisa LLC accept?

Health plans from AvMed, Humana, Medica and Moda Health Plan, Inc. list Vidisa LLC 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 Vidisa LLC was last updated on August 12, 2021. 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.