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TEKOA PHARMACY
NPI 1710046180
Pharmacy - Community/Retail Pharmacy in Tekoa, WA

Active since December 08, 2006CLIA 50D2252122 · Waiver
124 N CROSBY ST, TEKOA, WA 99033(509) 284-4205(509) 284-3076 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2019, May 10, 2018, Sep 26, 2016 (3 updates tracked since 2016).

About Tekoa Pharmacy NPPES

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

TEKOA PHARMACY (NPI 1710046180) is a healthcare organization registered as a community/retail pharmacy in Tekoa, Washington and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jessica Lorraine Sperber, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1710046180
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTEKOA RX LLC
Location Address124 N CROSBY STTekoa, WA 99033
Mailing AddressPo Box 808Tekoa, WA 99033 · (509) 284-4205 · Fax (509) 284-3076
Phone(509) 284-4205
Fax(509) 284-3076
Organization SubpartNo
Authorized OfficialJessica Lorraine SperberOwner/manager · (509) 284-4205
Enumeration DateDecember 8, 2006
Last NPPES UpdateApril 24, 20193 updates tracked since enumeration
✔ NPI 1710046180 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.00056426
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
124 N CROSBY ST, Tekoa, WA 99033
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Other Names 1

Doing Business AsTekoa Pharmacy

Other Identifiers 2

Other2110562Pk
Medicaid6022479WA

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 Arizona Complete Health 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 50D2252122

Tekoa Pharmacy · Tekoa, WA
Active · expires Apr 4, 2028
CLIA Number50D2252122
Laboratory TypePharmacy
Certificate Effective DateFebruary 8, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPatricia Primmer
Laboratory Phone(509) 284-4205
Laboratory LocationTekoa Pharmacy124 N Crosby St, Tekoa, WA 99033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
60 services60 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.
48 services48 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
44 services44 patients

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 Tekoa Rx LLC's NPI number?

The NPI number for Tekoa Rx LLC is 1710046180. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Tekoa Pharmacy.

Where is Tekoa Rx LLC located?

Tekoa Rx LLC is located at 124 N Crosby St, Tekoa, WA 99033. The listed phone number is (509) 284-4205.

What is Tekoa Rx LLC's specialty?

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

Does Tekoa Rx LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2252122) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tekoa Rx LLC 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 50 other insurers list Tekoa Rx 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 Tekoa Rx LLC was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.