Active NPI
Ilana Widders, R.PH.
- Pharmacist
- Eugene, OR
National Provider Identifier
1114268778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7782
- Practice address
- 185 E 18TH Ave
Eugene, OR 97401-4107 - Phone
- (541) 342-4995
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7782 | OR | Primary |
Addresses
Primary practice location
185 E 18TH Ave
Eugene, OR 97401-4107
Mailing address
185 E 18TH Ave
Eugene, OR 97401-4107
Phone (541) 342-4995
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7782 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hirons Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Eugene, OR
- NPI 1063524072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1114268778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 E 18TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014107",
"telephone_number": "541-342-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 E 18TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014107",
"telephone_number": "541-342-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDDERS",
"first_name": "ILANA",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "7782",
"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 Mar 3, 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.