Organization Active NPI

WSG Corp

Doing business as McLain's Drug Centre

  • Pharmacy
  • Grants Pass, OR
National Provider Identifier
1083674279
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RP0000219CS Issued in OR
Legal business name
WSG CORP
Doing business as
McLain's Drug Centre
Practice address
301 SE 6TH St
Grants Pass, OR 97526-2503
Phone
(541) 476-4464
Fax
(541) 476-4222
NPI assigned
Mar 23, 2006
Last updated
Nov 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Mr. Winfield F Muffett III, RPH
Title
Owner
Phone
(360) 693-5879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP0000219CS OR Primary

Addresses

Primary practice location

301 SE 6TH St
Grants Pass, OR 97526-2503

Mailing address

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236

Other identifiers 2

IdentifierTypeStateIssuer
3800530OtherNCPDP
233040MedicaidOR

Other names 1

  • McLain's Drug Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070405000145 OR Part B Supplier - Mass Immunization (Roster Biller Only) 8921077751 1 other NPI on this enrollment
This NPI is an additional NPI on the 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 Directory

Locations

301 SE 6th St
Grants Pass, OR 97526
Phone (541) 476-4464

301 SE 6th St
#1140
Grants Pass, OR 97526
Phone (541) 476-4464

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1083674279",
    "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": "301 SE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262503",
            "telephone_number": "541-476-4464",
            "fax_number": "541-476-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MUFFETT",
        "authorized_official_first_name": "WINFIELD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-693-5879",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0000219CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3800530",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233040",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLain's Drug Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.

Verify at the official NPI Registry.