CHINOOK PHARMACY INC. NPI 1861409880

NPI Information

  • NPI: 1861409880
  • Provider Name: CHINOOK PHARMACY, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 50D2254992
  • Address: 11 S FORKS AVE
    FORKS, WA
    ZIP 98331
  • Phone: (360) 374-2294

Map and Directions

Get Directions

NPI Details

CHINOOK PHARMACY, INC. is a durable medical equipment medical supplies in Forks, WA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CHINOOK PHARMACY, INC. NPI is 1861409880. The provider is registered as an organization entity type.

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 CLIA number assigned to this NPI record is 50D2254992 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 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
1332B00000XDurable Medical Equipment & Medical SuppliesCF00058860WASHINGTONYes

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
216470OTHERWASHINGTONLABOR & INDUSTRIES
36090203MEDICAIDWASHINGTON

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI