Nooksack Valley Drug Store LLC
NPI 1184764458 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Everson, WA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nooksack Valley Drug Store LLC is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist organization in Everson, WA (NPI 1184764458).
Provider details
- NPI number
- 1184764458
- Entity type
- Organization
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Meagan Kammenga, Owner(360) 966-3481
Specialties & taxonomies
Pharmacy Service Providers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
215 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 113 | $32 |
| Admn Sarscov2 Vacc 1 Dose90480 | 102 | $43 |
Typical Medicare-allowed amounts for these services range $32–$43 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Valley Drug
- Doing business as
- Valley Drug
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2023-02-10
- Certified
- 2023-02-10
Frequently asked questions
- What is Nooksack Valley Drug Store LLC's NPI number?
- Nooksack Valley Drug Store LLC's National Provider Identifier (NPI) is 1184764458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nooksack Valley Drug Store LLC?
- Nooksack Valley Drug Store LLC is classified in the NPPES registry as Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Pharmacy Service Providers).
- Where is Nooksack Valley Drug Store LLC located?
- Nooksack Valley Drug Store LLC's practice location on file with NPPES is 208 E Main St, Everson, WA 98247-0307.
- What is Nooksack Valley Drug Store LLC's phone number?
- The practice phone number listed in the NPPES registry for Nooksack Valley Drug Store LLC is (360) 966-3481.
- Does Nooksack Valley Drug Store LLC accept Medicare?
- Nooksack Valley Drug Store LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nooksack Valley Drug Store LLC?
- The authorized official listed on Nooksack Valley Drug Store LLC's NPPES record is Meagan Kammenga, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nooksack Valley Drug Store LLC's NPI active?
- Yes — Nooksack Valley Drug Store LLC's NPI (1184764458) is active in the NPPES registry as of the last update on 2023-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.