Broken Oak LLC
Broken Oak LLC is a healthcare organization registered as Community/Retail Pharmacy in Omak, WA, holding Type 2 (organization) NPI 1548887771 since 2020. The authorized official on file is April Russell, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548887771 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broken Oak LLC |
| Practice address | 208 S MAIN ST, Omak, WA, 98841 |
| Phone | 5097400833 |
| Enumeration date | 2020-07-03 |
| Last updated in NPPES | 2020-07-03 |
Authorized official
| Name | April Russell |
|---|---|
| Title | Owner |
| Phone | 5097400833 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Secondary | — | — |
| 183700000X | Pharmacy Technician | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Broken Oak LLC NPI: 1548887771 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 208 S MAIN ST, Omak, WA, 98841
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790123123 | Cherienne Spangler | Individual | Massage Therapist | Omak, WA |
| 1639584600 | Stephen Both | Individual | Certified Registered Nurse Anesthetist | Omak, WA |
| 1194132829 | Lena Boyle | Individual | Clinical Social Worker | Omak, WA |
| 1023664083 | Kai Forgach | Individual | Massage Therapist | Omak, WA |
| 1992341010 | Eileen Lombardi | Individual | Family Nurse Practitioner | Omak, WA |
| 1508463654 | Full Circle Health and Wellness Center Pllp | Organization | Multi-Specialty Clinic/Center | Omak, WA |
| 1073110029 | Okanogan Valley Anesthesia Center for Pain Management Pllc | Organization | Certified Registered Nurse Anesthetist | Omak, WA |
| 1194418780 | Into the Wilds Healing | Organization | Clinical Social Worker | Omak, WA |
Verify this record
Cross-check NPI 1548887771 against the authoritative CMS record: view Broken Oak LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Broken Oak LLC?
What is the NPI number for Broken Oak LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-07-03.