ISLAND DRUG #1142 – NPI #1336117597
Pharmacy

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.

ISLAND DRUG #1142 is a pharmacy located in CLINTON, WA. NPPES has assigned the NPI number 1336117597 to ISLAND DRUG #1142 on March 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ISLAND DRUG #1142” is a dba name, the actual legal business name for this organization is SOAS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Aug 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ISLAND DRUG #1142 below.

NPI Profile for
SOAS, LLC

NPI Number
1336117597
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOAS, LLC
Doing Business As (dba): ISLAND DRUG #1142
Primary location
8970 STATE ROUTE 525
CLINTON, WA 98236
Phone: (360) 341-3885 Fax: (360) 341-3886
Mailing address
32170 STATE ROUTE 20
OAK HARBOR, WA 98277-3719
Phone: (360) 213-2236 Fax: (360) 213-2238
Organization Subpart
No
Authorized Official
AARON SYRING
OWNER/PHARMACIST
Phone: (360) 341-3885
Updated
Certification Date
Aug 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ISLAND DRUG #1142

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERL&IWA0195560
OTHERNCPDP NUMBERWA4931312
OTHERSTATE PHARMACY LICENSEWACF00058260
MEDICAIDWA6028252
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.