Granite Drugs, LLC
NPI 1699764399ActiveOrganization· Pharmacy· Granite Falls, WA
Pharmacy in Granite Falls, Washington, registered in NPPES in October 2005. The authorized official on file is Kari Vanderhouwen, Managing Member. Medicare paid $4,510 for services to 15 patients in 2024.
Overview
| NPI | 1699764399 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2005 |
| Last updated in NPPES | Dec 23, 2019 |
| Certified by provider | Dec 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | CF00057675 | WA |
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 Part B Supplier - Independent Clinical Laboratory (WA); Part B Supplier - Mass Immunization (Roster Biller Only) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 52 across 7 procedure codes |
| Paid by Medicare | $4,510 |