Philip Kaser Family, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0000491-CS Issued in OR

Legal business name

PHILIP KASER FAMILY, LLC

Doing business as

Harvard Avenue Drugs

Practice address

1175 W. Harvard Avenue
Roseburg, OR 97471

Phone

(541) 672-1961

Fax

(541) 672-9314

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Jeannie E Hooten, RPH

Title

Pic, Manager

Phone

(541) 672-1961

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harvard Avenue Drugs Doing business as

Locations

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114456563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712834",
            "telephone_number": "541-672-1961",
            "fax_number": "541-672-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 W. HARVARD AVENUE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-672-1961",
            "fax_number": "541-672-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP KASER FAMILY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOOTEN",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PIC, MANAGER",
        "authorized_official_telephone_number": "541-672-1961",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000491-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083105",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvard Avenue Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harvard Avenue Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Billie Jean Pettibone
• Erica Marie Pfau
• Tung Thanh Pham, PHARMD
• Michelle Noelle Phelps
• Keith A Phifer, RPH
• Candice Phillips
• Colton Phillips
• Sean M Phillips, D.O.
• Susan G. Pickrel, M.D.
• Craig Anthony Pierce, RPH

• Community/Retail Pharmacy in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.