Sixth Avenue Medical Pharmacy Inc
NPI 1124039623ActiveOrganization· Pharmacy· Spokane, WA
Pharmacy in Spokane, Washington, registered in NPPES in August 2006. The authorized official on file is Erik Nelson, Pic. Medicare paid $25,276 for services to 103 patients in 2024.
Overview
| NPI | 1124039623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2006 |
| Last updated in NPPES | Jun 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHAR.CF.60411553 | WA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (WA); Part B Supplier - Mass Immunization (Roster Biller Only) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 329 across 9 procedure codes |
| Paid by Medicare | $25,276 |
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