Active NPI
Samuel James Rawlins, RPH
- Pharmacist
- Salem, OR
National Provider Identifier
1023241882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0010043
- Practice address
- 1940 Turner Rd SE
Salem, OR 97302-2003 - Phone
- (503) 391-0586
- NPI assigned
- Aug 27, 2009
- 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 | 0010043 | OR | Primary |
Addresses
Primary practice location
1940 Turner Rd SE
Salem, OR 97302-2003
Mailing address
175 Kevin Way SE
Salem, OR 97306-1928
Phone (503) 910-7847
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010043 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1023241882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 KEVIN WAY SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973061928",
"telephone_number": "503-910-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 TURNER RD SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022003",
"telephone_number": "503-391-0586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINS",
"first_name": "SAMUEL",
"middle_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-27",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0010043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.