Tieton Village Drug Inc.
Community/Retail Pharmacy
3708 Tieton Dr, Yakima
Washington, 98902-3664
509-966-6850 509-966-2690
Tieton Village Drug Inc. is a Community/Retail Pharmacy in Yakima, Washington. It is located at 3708 Tieton Dr, Yakima and it's customer support contact number is 509-966-6850. The authorized person of Tieton Village Drug Inc. is Ryan Davis who is Gen Mgr of the pharmacy and his contact number is 509-469-3198. Active license number of Tieton Village Drug Inc. is CF00056158 for Community/Retail Pharmacy in Washington. Tieton Village Drug Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Tieton Village Drug Inc. 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:
Tieton Village Drug Inc. 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: | Tieton Village Drug Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 3708 Tieton Dr, Yakima,
Washington, 98902-3664 |
| Phone: | 509-966-6850 |
| Fax: | 509-966-2690 |
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: | Ryan Davis |
| Position: | Gen Mgr |
| Contact Number: | 509-469-3198 |
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: | 1659450336 |
| NPI Enumeration Date: | 03 Nov, 2006 |
| NPI Last Update On: | 18 Sep, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tieton Village Drug Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | CF00056158 | 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 |
| 2106408 | Other | | Pk |
| 6712209 | Medicaid | Washington | |
Medicare Enrollment:
Tieton Village Drug Inc. 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 |
| 4284786096 | O20090708000599 | Tieton Village Drug Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 4284786096 | O20100930010723 | Tieton Village Drug Inc. | DME SUPPLIER - PHARMACY |
Products Available:
Tieton Village Drug Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Patient Lifts | • Power Operated Vehicles (scooters) |
| • Seat Lift Mechanisms | • Surgical Dressings |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Ultraviolet Light Devices |
| • Urological Supplies | • Walkers |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3708 Tieton Dr,
Yakima, Washington |
| Zip: | 98902-3664 |
| Phone Number: | 509-469-3198 |
| Fax Number: | 509-469-3205 |
Patients can reach Tieton Village Drug Inc. at
3708 Tieton Dr, Yakima, Washington or can
call on customer care at 509-966-6850.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.