Kittitas County Public Hosp Dist 1
Community/Retail Pharmacy
603 S Chestnut St, Ellensburg
Washington, 98926
509-925-8484 509-925-8485
Kittitas County Public Hosp Dist 1 is a Community/Retail Pharmacy in Ellensburg, Washington. It is located at 603 S Chestnut St, Ellensburg and it's customer support contact number is 509-925-8484. The authorized person of Kittitas County Public Hosp Dist 1 is Julie Petersen who is Interim Ceo of the pharmacy and his contact number is 509-962-7301. Active license number of Kittitas County Public Hosp Dist 1 is PHAR.CF.60588203 for Community/Retail Pharmacy in Washington. Kittitas County Public Hosp Dist 1 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kittitas County Public Hosp Dist 1 is 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.
Pharmacy Details:
Kittitas County Public Hosp Dist 1 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kittitas County Public Hosp Dist 1 |
| Type: | Community/Retail Pharmacy |
| Location: | 603 S Chestnut St, Ellensburg,
Washington, 98926 |
| Phone: | 509-925-8484 |
| Fax: | 509-925-8485 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Julie Petersen |
| Position: | Interim Ceo |
| Contact Number: | 509-962-7301 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1528507464 |
| NPI Enumeration Date: | 13 Feb, 2017 |
| NPI Last Update On: | 01 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kittitas County Public Hosp Dist 1 are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHAR.CF.60588203 | Washington | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2077649 | Medicaid | Washington | |
| 2165866 | Other | | Pk |
Medicare Enrollment:
Kittitas County Public Hosp Dist 1 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0547179608 | O20170324002027 | Kittitas County Public Hospital District 1 | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 603 S Chestnut St,
Ellensburg, Washington |
| Zip: | 98926-3875 |
| Phone Number: | 509-925-8484 |
| Fax Number: | 509-925-8485 |
Patients can reach Kittitas County Public Hosp Dist 1 at
603 S Chestnut St, Ellensburg, Washington or can
call on customer care at 509-925-8484.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.