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Vidisa LLC

Community/Retail Pharmacy in Cle Elum, WA · enumerated 2018 · authorized official Virginia Kelly, Owner/Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487156121

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Vidisa LLC
Other name <Unavail>
Practice address 115 W 1st St, Cle Elum, WA, 98922
Phone (509) 852-0123
Fax (509) 852-4567
Enumeration date Mar 7, 2018
Last updated in NPPES Aug 12, 2021

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHAR.CF.6082533 (WA) Primary

Authorized official

Name Virginia Kelly
Title Owner/Partner
Phone (509) 322-7097

Other identifiers

Identifier Type State Issuer
2099187 Medicaid WA -
2176385 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Vidisa LLC?
Vidisa LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-12.