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WEST PASCO PHARMACY
NPI 1710504550
Pharmacy - Community/Retail Pharmacy in Pasco, WA

Active since June 27, 2020CLIA 50D2205416 · Waiver
7505 SANDIFUR PKWY, SUITE 102, PASCO, WA 99301(509) 567-7160(509) 567-7178 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2022, Feb 11, 2021, Jan 3, 2021 and 3 more (6 updates tracked since 2020).

About West Pasco Pharmacy NPPES

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

WEST PASCO PHARMACY (NPI 1710504550) is a healthcare organization registered as a community/retail pharmacy in Pasco, Washington and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Manogna Choudary Pamidi, Manager, as its authorized official.

NPPES Registry Identity

NPI1710504550
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAYSHUV ENTERPRISES, LLC
Location Address7505 SANDIFUR PKWY, SUITE 102Pasco, WA 99301
Mailing Address7505 Sandifur Pkwy, Suite 102Pasco, WA 99301
Phone(509) 567-7160
Fax(509) 567-7178
Organization SubpartNo
Authorized OfficialManogna Choudary PamidiManager · (509) 567-7160
Enumeration DateJune 27, 2020
Last NPPES UpdateJanuary 4, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1710504550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
7505 SANDIFUR PKWY, Pasco, WA 99301
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Other Names 1

Doing Business AsWest Pasco Pharmacy

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Pasco Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20210304000186DME · PharmacyDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 50D2205416

West Pasco Pharmacy · Pasco, WA
Active · expires Apr 4, 2028
CLIA Number50D2205416
Laboratory TypePharmacy
Certificate Effective DateDecember 14, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorManogna Pamidi
Laboratory Phone(509) 567-7160
Laboratory LocationWest Pasco Pharmacy7505 Sandifur Pkwy Ste 102, Pasco, WA 99301
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 2

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.
123 services122 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.
113 services113 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories West Pasco Pharmacy carries, from the Medicare DMEPOS supplier directory.

West Pasco Pharmacy

DMEPOS supplier · Pasco, WAOperated by Kayshuv Enterprises LLC
✔

Accepts Medicare assignment

West Pasco 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)23281507
Medicare Participant SinceAugust 12, 2020
Supplier Location7505 Sandifur Pkwy Ste 102Pasco, WA 99301
Phone(509) 567-7160
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
Infusion Drugs
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.

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 Kayshuv Enterprises, LLC's NPI number?

The NPI number for Kayshuv Enterprises, LLC is 1710504550. It was assigned to this organization in the NPPES registry on June 27, 2020. The provider is doing business as West Pasco Pharmacy.

Where is Kayshuv Enterprises, LLC located?

Kayshuv Enterprises, LLC is located at 7505 Sandifur Pkwy Suite 102, Pasco, WA 99301. The listed phone number is (509) 567-7160.

What is Kayshuv Enterprises, LLC's specialty?

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

Is Kayshuv Enterprises, LLC enrolled in Medicare?

Yes. Kayshuv Enterprises, LLC is registered in the Medicare PECOS enrollment system.

When is Kayshuv Enterprises, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Washington, Pharmacy) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Kayshuv Enterprises, LLC accept Medicare assignment for medical equipment?

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

Does Kayshuv Enterprises, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2205416) 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 Kayshuv Enterprises, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 48 other insurers list Kayshuv Enterprises, 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 Kayshuv Enterprises, LLC was last updated on January 4, 2022. 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.