{
"Npi": {
"NPI": "1609069269",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CATHLAMET PHARMACY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "HI SCHOOL PHARMACY",
"SecondLineMailingAddress": "916 W EVERGREEN BLVD",
"MailingAddressCityName": "VANCOUVER",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98660",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-213-2236",
"MailingAddressFaxNumber": "360-795-3033",
"FirstLinePracticeLocationAddress": "74 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CATHLAMET",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98612-0218",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-795-3691",
"PracticeLocationAddressFaxNumber": "360-795-3033",
"EnumerationDate": "08/27/2007",
"LastUpdateDate": "12/17/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VEIS",
"AuthorizedOfficialFirstName": "KRISTI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VP OF PHARMACY",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "503-507-6073",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "CF59161",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}