PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1780828327
Pharmacy in Walla Walla, WA

Q: What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since April 27, 2009

401 W POPLAR ST, PHARMACY, WALLA WALLA, WA 99362(509) 522-5955(509) 522-5958 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, May 7, 2025 (2 updates tracked since 2025).

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About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1780828327) is a healthcare organization registered as a pharmacy in Walla Walla, Washington and active in the NPI registry since April 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1780828327

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address401 W POPLAR ST, PHARMACYWalla Walla, WA 99362-2846

Mailing AddressPo Box 31001 - 4110Pasadena, CA 91110-4110 · (509) 522-5906 · Fax (509) 522-5789

Phone(509) 522-5955

Fax(509) 522-5958

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateApril 27, 2009

Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1780828327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in WA · PHAR.CF.00001050

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

401 W POPLAR ST, Walla Walla, WA 99362

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Other Names 1

Other NameProvidence Smmc Pharmacy Dme

Other Providers at the Same Location NPPES 20

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

PATRICK R SMART ARNP

Nurse Practitioner

401 W POPLAR ST, SLEEP MEDICINE CENTER
WALLA WALLA, WA 99362

Walla Walla County (509) 522-5946

JENNIFER SIMPSON

Registered Nurse

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (817) 933-1868

JAMES WILLIAM ROSSMAN MD

Anesthesiology

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-2002

DR. ROBERT JOHN BRAWDERS PHARMD

Pharmacist

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-2055

KRISTA NEUENDORFF OTR/L

Occupational Therapist

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-5022

NORA KEOUGH COTA/L

Occupational Therapy Assistant

401 W POPLAR ST, REBAB SERVICE
WALLA WALLA, WA 99362

Walla Walla County (509) 897-2100

DR. PHILIP A GREEN MD

Emergency Medicine

401 W POPLAR ST, PSMMC ER
WALLA WALLA, WA 99362

Walla Walla County (509) 522-5802

DENNIS DUMOT

Pharmacist

401 W POPLAR ST
WALLA WALLA, WA 99362

Walla Walla County (509) 897-3320

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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1780828327. It was assigned to this organization in the NPPES registry on April 27, 2009. The provider is also known as Providence SMMC Pharmacy DME.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 401 W Poplar St Pharmacy, Walla Walla, WA 99362. The listed phone number is (509) 522-5955.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.