Organization Active NPI

D & S Hometown Pharmacies Inc

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1043324023
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
D & S HOMETOWN PHARMACIES INC
Practice address
7410 SW Oleson Rd
Portland, OR 97223-7475
Phone
(503) 244-4508
Fax
(503) 246-0654
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Mr. Mark Edwin Sargeant, RPH
Title
Owner
Phone
(503) 244-4508

Specialties & licenses 1

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

Addresses

Primary practice location

7410 SW Oleson Rd
Portland, OR 97223-7475

Mailing address

7410 SW Oleson Rd
#420
Portland, OR 97223-7475
Phone (503) 244-4508

Other identifiers 2

IdentifierTypeStateIssuer
271172MedicaidOR
3806087OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • LAMBS GARDEN HOME PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

7410 SW Oleson Rd
#420
Portland, OR 97223

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1043324023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 SW OLESON RD",
            "address_2": "#420",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972237475",
            "telephone_number": "503-244-4508",
            "fax_number": "503-246-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 SW OLESON RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972237475",
            "telephone_number": "503-244-4508",
            "fax_number": "503-246-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & S HOMETOWN PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "SARGEANT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-244-4508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271172",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3806087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAMBS GARDEN HOME 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 Aug 17, 2007; 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.