NPIMap

Organization Active NPI

Tomin Basrai, Inc.

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1013949502
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00413 Issued in OR
Legal business name
TOMIN BASRAI, INC.
Practice address
4246 NE Sandy Blvd
Portland, OR 97213-1432
Phone
(503) 287-1163
Fax
(503) 282-2281
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Mr. Gurpartap S Basrai, PHARMD
Title
President/Owner
Phone
(510) 468-2217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 00413 OR Primary

Addresses

Primary practice location

4246 NE Sandy Blvd
Portland, OR 97213-1432

Mailing address

4246 NE Sandy Blvd
Portland, OR 97213-1432
Phone (503) 287-1163

Other identifiers 2

IdentifierTypeStateIssuer
157107MedicaidOR
269109MedicaidOR

Other names 1

  • Paulsen's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4246 NE Sandy Blvd
Portland, OR 97213
Phone (503) 287-1163

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1013949502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131432",
            "telephone_number": "503-287-1163",
            "fax_number": "503-282-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131432",
            "telephone_number": "503-287-1163",
            "fax_number": "503-282-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMIN BASRAI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "BASRAI",
        "authorized_official_first_name": "GURPARTAP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "510-468-2217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "00413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157107",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269109",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paulsen's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.