OrganizationActive
Broken Oak LLC
NPI 1548887771 · Community/Retail Pharmacy · Omak, WA
Provider details
- NPI number
- 1548887771
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- April Russell, Owner(509) 740-0833
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
- Pharmacy Technician183700000X
Pharmacy Service Providers
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
208 S Main St
Omak, WA 98841-9755
Phone: (509) 740-0833
Street-level locationGet directions
Mailing address
Po Box 265
Okanogan, WA 98840-0265
Other names (DBA / former)
- Doing business as
- Northstar Pharmacy
Additional practice locations (1)
- 2364 Elmway Unit 7Okanogan, WA 98840-9779Phone: (509) 740-0833
Registry dates
- Enumerated
- 2020-07-03
- Last updated
- 2020-07-03
- Certified
- 2020-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.