CITY CENTER DRUG – Community/Retail Pharmacy, NPI 1649271214

CITY CENTER DRUG is a healthcare provider. based in Aberdeen, Washington. specializing in Community/Retail Pharmacy. The organization holds a License No. CF00059225 (WA). The NPI Number for CITY CENTER DRUG is 1649271214

Main info

Organization
Name
CITY CENTER DRUG
NPI
1649271214
Phone
(360) 532-5182
Address
108 E WISHKAH ST
Authorized Official
PATRICK O DONNELL OWNER
Enumeration Date
4 August 2005
Last Update Date
13 August 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for CITY CENTER DRUG

  • 108, East Wishkah Street, South Aberdeen, Aberdeen, Grays Harbor County, Washington, 98520, United States

    ABERDEEN, WA 985206508

    Phone: (360) 532-5182

    Fax: (360) 532-5887

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20111025000819OMass Immunization (Roster Biller Only)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98520)

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Reviews

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Frequently asked questions

What is the standard ID for CITY CENTER DRUG in the U.S.?
In the U.S., CITY CENTER DRUG is identified by NPI 1649271214.
Should I treat CITY CENTER DRUG as an active provider?
Patients and plans typically see CITY CENTER DRUG as active in the national extract.
What does the directory say CITY CENTER DRUG does?
Insurance directories may phrase it differently, but here CITY CENTER DRUG maps to Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CITY CENTER DRUG?
CITY CENTER DRUG is associated with Aberdeen, Washington in the same public data insurers reference.
Can I export CITY CENTER DRUG's record?
You can download the official NPPES record; we summarize key fields for readability.

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