Fairway Drug, Inc
NPI 1780760454 · Community/Retail Pharmacy · Lynden, WA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairway Drug, Inc is a Community/Retail Pharmacy organization in Lynden, WA (NPI 1780760454).
Provider details
- NPI number
- 1780760454
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jerry Koehler, Manager(360) 354-1226
- License
- PHAR.CF.00003781 (WA)
Specialties & taxonomies
Suppliers
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
15 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 | 15 | $32 |
Typical Medicare-allowed amounts for these services range $32–$32 (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
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2019-10-17
Frequently asked questions
- What is Fairway Drug, Inc's NPI number?
- Fairway Drug, Inc's National Provider Identifier (NPI) is 1780760454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairway Drug, Inc?
- Fairway Drug, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Fairway Drug, Inc located?
- Fairway Drug, Inc's practice location on file with NPPES is 1758 Front St # 106, Lynden, WA 98264-1261.
- What is Fairway Drug, Inc's phone number?
- The practice phone number listed in the NPPES registry for Fairway Drug, Inc is (360) 354-1226.
- Does Fairway Drug, Inc accept Medicare?
- Fairway Drug, Inc 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 Fairway Drug, Inc?
- The authorized official listed on Fairway Drug, Inc's NPPES record is Jerry Koehler, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairway Drug, Inc's NPI active?
- Yes — Fairway Drug, Inc's NPI (1780760454) is active in the NPPES registry as of the last update on 2019-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.