Individual provider Active NPI

Richard James Prout, PRH

  • Pharmacist
  • Eugene, OR
National Provider Identifier
1114118635
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH0006588 Issued in OR
Practice address
28717 Grumman Dr
Eugene, OR 97402-9542
Phone
(541) 607-2000
Fax
(541) 607-2003
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH0006588 OR Primary

Addresses

Primary practice location

28717 Grumman Dr
Eugene, OR 97402-9542

Mailing address

28717 Grumman Dr
Eugene, OR 97402-9542
Phone (541) 607-2000

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

State licenses

LicenseStateTypeSpecialty
RPH0006588ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1114118635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28717 GRUMMAN DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029542",
            "telephone_number": "541-607-2000",
            "fax_number": "541-607-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28717 GRUMMAN DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029542",
            "telephone_number": "541-607-2000",
            "fax_number": "541-607-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUT",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PRH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH0006588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.