NORTHWEST PHARMACY SERVICES INC NPI 1154745735

NPI Information

  • NPI: 1154745735
  • Provider Name: NORTHWEST PHARMACY SERVICES INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: SID'S LTC PHARMACY
  • CLIA Number: 50D2253546
  • Address: 825 SE BISHOP BLVD STE 301B
    PULLMAN, WA
    ZIP 99163
  • Phone: (509) 334-6506

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NPI Details

NORTHWEST PHARMACY SERVICES INC is a long term care pharmacy pharmacy in Pullman, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. NORTHWEST PHARMACY SERVICES INC NPI is 1154745735. The provider is registered as an organization entity type.
The provider Is Doing Business As Sid's Ltc Pharmacy.

The provider's business location address is:

825 SE BISHOP BLVD STE 301B
PULLMAN, WA
ZIP 99163-517
Phone: (509) 334-6506
Fax: (509) 334-4776

The provider's authorized official is Wil Edwards .
The authorized official title is Owner and has the following contact phone number (208) 875-1212.

The CLIA number assigned to this NPI record is 50D2253546 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2014 and was last updated on 2/16/2023.

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
1261QI0500XClinic/CenterInfusion TherapyNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyNo
53336M0002XPharmacyMail Order PharmacyNo
63336S0011XPharmacySpecialty PharmacyNo
73336L0003XPharmacyLong Term Care PharmacyPHAR.CF.60432154WASHINGTONYes

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
12035300MEDICAIDWASHINGTON
22144904OTHERPK

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: 11/21/2025

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