Active NPI
WSG Corp
Doing business as Rogue River Pharmacy #1138
- Community/Retail Pharmacy
- Rogue River, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Veis
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241898 | Medicaid | OR | |
| 3842665 | Other | OR | NCPDP |
Other names 1
- Rogue River Pharmacy #1138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pharmacist
- Silverton, OR
- NPI 1386986818
-
- Pharmacist
- Rogue River, OR
- NPI 1649512963
-
- Pharmacist
- Rogue River, OR
- NPI 1790027068
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.