Organization Active NPI

WSG Corp

Doing business as Rogue River Pharmacy #1138

  • Community/Retail Pharmacy
  • Rogue River, OR
National Provider Identifier
1013063619
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WSG CORP
Doing business as
Rogue River Pharmacy #1138
Practice address
506 E Main Street
Rogue River, OR 97537
Phone
(541) 582-0559
Fax
(541) 582-3045
NPI assigned
Jan 26, 2007
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristi VeisNPI 1386986818
Title
VP of Pharmacy
Phone
(503) 507-6073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

506 E Main Street
Rogue River, OR 97537

Mailing address

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236

Other identifiers 2

IdentifierTypeStateIssuer
241898MedicaidOR
3842665OtherORNCPDP

Other names 1

  • Rogue River Pharmacy #1138 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070405000145 OR Part B Supplier - Mass Immunization (Roster Biller Only) 8921077751 1 other NPI on this enrollment
Practice locations: Rogue River, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1013063619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E MAIN STREET",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "97537",
            "telephone_number": "541-582-0559",
            "fax_number": "541-582-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "VEIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "503-507-6073"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241898",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3842665",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogue River Pharmacy #1138",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogue River Pharmacy #1138",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogue River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.