1. Home
  2. Directory
  3. Washington
  4. Omak
  5. Pharmacy
  6. NPI Profile

BROKEN OAK LLC
NPI 1548887771
Pharmacy - Community/Retail Pharmacy in Omak, WA

Active since July 03, 2020

NPPES record last updated: July 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broken Oak Llc NPPES

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

BROKEN OAK LLC (NPI 1548887771), doing business as Northstar Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Omak, Washington and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Okanogan and lists April M Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1548887771
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROKEN OAK LLC
Location Address208 S MAIN STOmak, WA 98841-9755
Mailing AddressPo Box 265Okanogan, WA 98840-0265 · (509) 846-4910
Phone(509) 740-0833
Organization SubpartNo
Authorized OfficialApril M RussellOwner · (509) 740-0833
Enumeration DateJuly 3, 2020
NPPES CertifiedJuly 3, 2020
✔ NPI 1548887771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X
Also ListedPharmacy TechnicianTaxonomy 183700000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
208 S MAIN ST, Omak, WA 98841
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthstar Pharmacy

Secondary Practice Location 1

Location 12364 Elmway Unit 7Okanogan, WA 98840-9779 · Phone (509) 740-0833

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

KAI FORGACH
Massage Therapist
208 S MAIN ST
OMAK, WA 98841
Okanogan County (509) 826-2111
OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC
Nurse Anesthetist, Certified Registered
208 S MAIN ST
OMAK, WA 98841
Okanogan County (509) 740-2192
LENA LORRAINE BOYLE LICSW
Social Worker (Clinical)
208 S MAIN ST
OMAK, WA 98841
Okanogan County (509) 429-9521
INTO THE WILDS HEALING
Social Worker (Clinical)
208 S MAIN ST
OMAK, WA 98841
Okanogan County (509) 429-9521
FULL CIRCLE HEALTH AND WELLNESS CENTER PLLP
Clinic/Center (Multi-Specialty)
208 S MAIN ST
OMAK, WA 98841
Okanogan County (509) 560-3928
MR. STEPHEN K BOTH JR. CRNA
Nurse Anesthetist, Certified Registered
208 S MAIN ST
OMAK, WA 98841
Okanogan County (325) 660-5535
MS. CHERIENNE SPANGLER LMT
Massage Therapist
208 S MAIN ST
OMAK, WA 98841
Okanogan County (509) 826-2111
DR. EILEEN LOMBARDI DNP
Nurse Practitioner (Family)
208 S MAIN ST
OMAK, WA 98841
Okanogan County (509) 861-0777

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 Broken Oak LLC's NPI number?

The NPI number for Broken Oak LLC is 1548887771. It was assigned to this organization in the NPPES registry on July 3, 2020. The provider is doing business as NorthStar Pharmacy.

Where is Broken Oak LLC located?

Broken Oak LLC is located at 208 S Main St, Omak, WA 98841. The listed phone number is (509) 740-0833.

What is Broken Oak LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Broken Oak LLC was last updated on July 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.