Sunriver Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SUNRIVER PHARMACY

Practice address

56890 Venture Lane
Sunriver, OR 97707

Phone

(541) 621-1953

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Louis Gilbert

Title

Owner

Phone

(541) 621-1953

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1023438439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4789",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "977071789",
            "telephone_number": "541-621-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56890 VENTURE LANE",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "97707",
            "telephone_number": "541-621-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRIVER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-621-1953"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney K Reynolds
• David Schweitzer, D.M.D.
• Daniel Mark Skotte Sr., DO
• Gail Deann Smith, PT
• James Philip Smith, LPC
• Sunriver Service District
• Mercedes Dawn Taylor, LMT
• Therapeutic Associates Inc (TAI - Sunriver)
• Livia M Vanloo, MSPT
• Eric D Walberg, PT

• Pharmacy in Sunriver, OR
• Providers in Sunriver, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.