SAINT-MARK ENTERPRISES 106 LLC NPI 1417197567

NPI Information

  • NPI: 1417197567
  • Provider Name: SAINT-MARK ENTERPRISES 106 LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDICINE SHOPPE
  • Address: 207 PROFESSIONAL WAY
    SHELTON, WA
    ZIP 98584
  • Phone: (360) 426-4272

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NPI Details

SAINT-MARK ENTERPRISES 106 LLC is a community/retail pharmacy pharmacy in Shelton, 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. SAINT-MARK ENTERPRISES 106 LLC NPI is 1417197567. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

207 PROFESSIONAL WAY
SHELTON, WA
ZIP 98584-404
Phone: (360) 426-4272
Fax: (360) 426-6977

The provider's authorized official is Mark A Miller .
The authorized official title is Owner and has the following contact phone number (314) 518-2427.

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.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 3/3/2009 and was last updated on 6/30/2009.

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 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
16032221MEDICAIDWASHINGTON
2G8881421MEDICARE PINWASHINGTON
36229710001MEDICARE NSCWASHINGTON

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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