NPIMap

Organization Active NPI

Pill Box Drugs Inc

Doing business as Pill Box Health Center Pharmacy

  • Long Term Care Pharmacy
  • Corvallis, OR
National Provider Identifier
1093808198
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0001972 Issued in OR
Legal business name
PILL BOX DRUGS INC
Doing business as
Pill Box Health Center Pharmacy
Practice address
906 NW Kings Blvd
Corvallis, OR 97330
Phone
(541) 258-8070
Fax
(541) 258-8073
NPI assigned
Oct 2, 2006
Last updated
Nov 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
John-Paul Fields
Title
Pharmacist
Phone
(541) 258-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 0001972 OR Primary

Addresses

Primary practice location

906 NW Kings Blvd
Corvallis, OR 97330

Mailing address

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2246

Other identifiers 2

IdentifierTypeStateIssuer
3814729OtherOTHER ID NUMBER
182948MedicaidOR

Other names 1

  • PILL BOX HEALTH CENTER PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102001236 OR Part B Supplier - Mass Immunization (Roster Biller Only) 9234191149 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corvallis, OR; Lebanon, OR; Silverton, OR; Sisters, OR

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1093808198",
    "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": "360-213-2246",
            "fax_number": "360-844-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-258-8070",
            "fax_number": "541-258-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL BOX DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JOHN-PAUL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "541-258-8070"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OR",
            "license": "0001972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3814729",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182948",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PILL BOX HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PILL BOX HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.