SOAS LLC NPI 1336117597

NPI Information

  • NPI: 1336117597
  • Provider Name: SOAS, LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: ISLAND DRUG #1142
  • CLIA Number: 50D2000680
  • Address: 8970 STATE ROUTE 525
    CLINTON, WA
    ZIP 98236
  • Phone: (360) 341-3885

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NPI Details

SOAS, LLC is a community/retail pharmacy pharmacy in Clinton, 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. SOAS, LLC NPI is 1336117597. The provider is registered as an organization entity type.
The provider Is Doing Business As Island Drug #1142.

The provider's business location address is:

8970 STATE ROUTE 525
CLINTON, WA
ZIP 98236
Phone: (360) 341-3885
Fax: (360) 341-3886

The provider's authorized official is Aaron M Syring .
The authorized official title is Owner/pharmacist and has the following contact phone number (360) 341-3885.

The CLIA number assigned to this NPI record is 50D2000680 - pharmacy with a certificate type of Certificate of Waiver.

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, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/11/2022.

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
1261Q00000XClinic/CenterNo
21835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4333600000XPharmacyNo
53336L0003XPharmacyLong Term Care PharmacyNo
63336S0011XPharmacySpecialty PharmacyNo
73336C0003XPharmacyCommunity/Retail PharmacyYes

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
14931312OTHERWASHINGTONNCPDP NUMBER
2CF00058260OTHERWASHINGTONSTATE PHARMACY LICENSE
30195560OTHERWASHINGTONL&I
46028252MEDICAIDWASHINGTON

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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