1. Home
  2. Directory
  3. Washington
  4. Union Gap
  5. Pharmacist
  6. NPI Profile

MARY FLACK
NPI 1609304864
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Union Gap, WA

Active since May 31, 2017
1211 AHTANUM RIDGE DR, UNION GAP, WA 98903(509) 525-5200 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, May 31, 2017 (2 updates tracked since 2017).

About Mary Flack NPPES

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

MARY FLACK (NPI 1609304864) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Union Gap, Washington, licensed in Oregon (RPH-0015567) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1609304864
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMARY FLACK
Location Address1211 AHTANUM RIDGE DRUnion Gap, WA 98903-1813
Mailing Address245 Sherman St Apt 225Sutherlin, OR 97479-7411
Phone(509) 525-5200
Sole ProprietorNo
Enumeration DateMay 31, 2017
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1609304864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OR · RPH-0015567
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1211 AHTANUM RIDGE DR, Union Gap, WA 98903
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

CARLA ALEXANDRA TREVINO RN
Registered Nurse
1211 AHTANUM RIDGE DR
UNION GAP, WA 98903
Yakima County (509) 966-0199
MATTHEW JAMES THOMAS PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1211 AHTANUM RIDGE DR
UNION GAP, WA 98903
Yakima County (509) 525-5200
MANDY J RODRIGUEZ LICSW
Social Worker (Clinical)
1211 AHTANUM RIDGE DR
UNION GAP, WA 98903
Yakima County (509) 966-0199
WALLA WALLA VAMC
Clinic/Center (VA)
1211 AHTANUM RIDGE DR
UNION GAP, WA 98903
Yakima County (702) 341-3164

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 Mary Flack's NPI number?

The NPI number for Mary Flack is 1609304864. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Mary Flack located?

Mary Flack practices at 1211 Ahtanum Ridge Dr, Union Gap, WA 98903. The listed phone number is (509) 525-5200.

What is Mary Flack's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Mary Flack was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.