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CLINIC AT ROYAL CITY
NPI 1962586503
Non-Pharmacy Dispensing Site in Royal City, WA

Active since October 24, 2006
101 CAMELIA ST NW, ROYAL CITY, WA 99357(509) 346-1447(509) 346-1481 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinic At Royal City NPPES

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

CLINIC AT ROYAL CITY (NPI 1962586503) is a healthcare organization registered as a non-pharmacy dispensing site in Royal City, Washington and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1962586503
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCLINIC AT ROYAL CITY
Location Address101 CAMELIA ST NWRoyal City, WA 99357
Mailing AddressPo Box 1028Royal City, WA 99357-1028
Phone(509) 346-1447
Fax(509) 346-1481
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962586503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in WA · MD00010548
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
101 CAMELIA ST NW, Royal City, WA 99357
Open in Google Maps ↗

Other Names 1

Doing Business AsClinic At Royal City

Other Identifiers 2

Other4928137Other Id Number-commercial Number
Medicaid8213605WA

Other Providers at the Same Location NPPES

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

MR. JOHN P CLARK PAC
Physician Assistant (Medical)
101 CAMELIA ST NW
ROYAL CITY, WA 99357
Grant County (509) 346-1447

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 Clinic At Royal City's NPI number?

The NPI number for Clinic At Royal City is 1962586503. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Clinic At Royal City located?

Clinic At Royal City is located at 101 Camelia St NW, Royal City, WA 99357. The listed phone number is (509) 346-1447.

What is Clinic At Royal City's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Clinic At Royal City was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.