GRANITE DRUGS LLC NPI 1699764399

NPI Information

  • NPI: 1699764399
  • Provider Name: GRANITE DRUGS, LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PHARM-A-SAVE GRANITE FALLS
  • CLIA Number: 50D2183216
  • Address: 207 E STANLEY ST # A
    GRANITE FALLS, WA
    ZIP 98252
  • Phone: (360) 691-7778

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NPI Details

GRANITE DRUGS, LLC is a pharmacy in Granite Falls, WA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GRANITE DRUGS, LLC NPI is 1699764399. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharm-a-save Granite Falls.

The provider's business location address is:

207 E STANLEY ST # A
GRANITE FALLS, WA
ZIP 98252-480
Phone: (360) 691-7778
Fax: (360) 691-4458

The provider's authorized official is Kari Vanderhouwen .
The authorized official title is Managing Member and has the following contact phone number (206) 915-7888.

The CLIA number assigned to this NPI record is 50D2183216 - 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)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 10/17/2005 and was last updated on 12/23/2019.

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
1333600000XPharmacyCF00057675WASHINGTONYes

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
14915712OTHERNABP
26003305MEDICAIDWASHINGTON

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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