PEACEHEALTH ST JOHN MEDICAL CENTER PHARMACY - NPI 1811252687

Q: What is Peacehealth's NPI number?

The NPI number for Peacehealth is 1811252687. It was assigned to this organization in the NPPES registry on July 9, 2012. The provider is doing business as Peacehealth St John Medical Center Pharmacy.

Q: What is Peacehealth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on February 16, 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.

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About Peacehealth St John Medical Center Pharmacy NPPES

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

PEACEHEALTH ST JOHN MEDICAL CENTER PHARMACY (NPI 1811252687) is a healthcare organization registered as a community/retail pharmacy in Longview, Washington and active in the NPI registry since July 2012. The organization lists Charmaine Mode, Mgr Pharmacy Sjm - Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1811252687

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePEACEHEALTH

Location Address1615 DELAWARE STLongview, WA 98632-2367

Mailing AddressPo Box 3002Longview, WA 98632-0302 · (360) 414-7656 · Fax (360) 636-4921

Phone(360) 414-7451

Fax(360) 636-4921

Organization SubpartNo

Authorized OfficialCharmaine ModeMgr Pharmacy Sjm - Pharmacy · (360) 414-7656

Enumeration DateJuly 9, 2012

Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1811252687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WA · PHAR.CF.00056869

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

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

1615 DELAWARE ST, Longview, WA 98632

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Other Names 1

Doing Business AsPeacehealth St John Medical Center Pharmacy

Other Identifiers 2

Medicaid2022930WA

Other2135946Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

CHOONG R KIM M.D.

Radiology (Radiation Oncology)