CHINOOK PHARMACY INC. NPI 1063432508

NPI Information

  • NPI: 1063432508
  • Provider Name: CHINOOK PHARMACY INC.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: CHINOOK PHARMACY
  • Address: 11 S FORKS AVE
    FORKS, WA
    ZIP 98331
  • Phone: (360) 374-2294

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NPI Details

CHINOOK PHARMACY INC. is a community/retail pharmacy pharmacy in Forks, WA. The provider is 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. CHINOOK PHARMACY INC. NPI is 1063432508. The provider is registered as an organization entity type.
The provider Is Doing Business As Chinook Pharmacy.

The provider's business location address is:

11 S FORKS AVE
FORKS, WA
ZIP 98331-006
Phone: (360) 374-2294
Fax: (360) 374-5057

The provider's authorized official is Jeffrey Shane Harrell .
The authorized official title is Owner and has the following contact phone number (360) 244-5984.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 7/20/2006 and was last updated on 10/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyCF00058860WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19045162MEDICAIDWASHINGTON
26090203MEDICAIDWASHINGTON
316470OTHERWASHINGTONLABOR AND INDUSTRIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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