OrganizationActive
Prosser Southgate Pharmacy Inc
NPI 1700417854 · Community/Retail Pharmacy · Prosser, WA
Prosser Southgate Pharmacy Inc is a Community/Retail Pharmacy organization in Prosser, WA (NPI 1700417854).
Provider details
- NPI number
- 1700417854
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lateef Olaniyan, President(509) 750-8319
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
207 Canyon Drive
Prosser, WA 99350-1009
Phone: (509) 750-8319
Fax: (509) 765-4761
Street-level locationGet directions
Mailing address
2709 W. Broadway Avenue
Moses Lake, WA 98837
Other names (DBA / former)
- Doing business as
- Prosser Southgate Pharmacy
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2020-01-28
- Certified
- 2020-01-28
Frequently asked questions
- What is Prosser Southgate Pharmacy Inc's NPI number?
- Prosser Southgate Pharmacy Inc's National Provider Identifier (NPI) is 1700417854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prosser Southgate Pharmacy Inc?
- Prosser Southgate Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Prosser Southgate Pharmacy Inc located?
- Prosser Southgate Pharmacy Inc's practice location on file with NPPES is 207 Canyon Drive, Prosser, WA 99350-1009.
- What is Prosser Southgate Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Prosser Southgate Pharmacy Inc is (509) 750-8319.
- Who is the authorized official for Prosser Southgate Pharmacy Inc?
- The authorized official listed on Prosser Southgate Pharmacy Inc's NPPES record is Lateef Olaniyan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prosser Southgate Pharmacy Inc's NPI active?
- Yes — Prosser Southgate Pharmacy Inc's NPI (1700417854) is active in the NPPES registry as of the last update on 2020-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.