Active NPI
Benjamin Orourke
- Pharmacist
- Eugene, OR
National Provider Identifier
1003189028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011825
- Practice address
- 2030 River Rd
Eugene, OR 97404 - Phone
- (541) 687-7620
- Fax
- (541) 461-2180
- NPI assigned
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0011825 | OR | Primary |
Addresses
Primary practice location
2030 River Rd
Eugene, OR 97404
Mailing address
2030 River Rd
Eugene, OR 97404
Phone (541) 687-7620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011825 | Other | OR | STATE PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011825 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1003189028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "97404",
"telephone_number": "541-687-7620",
"fax_number": "541-461-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "97404",
"telephone_number": "541-687-7620",
"fax_number": "541-461-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OROURKE",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0011825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "0011825",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.