Oak Street Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0000552 Issued in OR

Legal business name

OAK STREET PHARMACY, INC.

Doing business as

Oak Tree Pharmacy

Practice address

2940 Commercial St SE
Salem, OR 97302-4552

Phone

(503) 585-2877

Fax

(503) 585-6007

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John S Sherman, RPHNPI 1609297639

Title

Owner

Phone

(503) 585-2877

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Oak Tree Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Scott Sherman, R.PH.

  • Pharmacist
  • Salem, OR
  • NPI 1609297639
  NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1154336840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024552",
            "telephone_number": "503-585-2877",
            "fax_number": "503-585-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024552",
            "telephone_number": "503-585-2877",
            "fax_number": "503-585-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK STREET PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-585-2877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000552",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170982",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231993",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "38-09639",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel P O'Leary, D.D.S.
• Dennis O'Loughlin, AU.D.
• Oak Park Family Dental Care
• Oak Park Family Dental Care
• Oak Springs Wellness Centre, LLC
• Oak Street Surgical Associates PC
• Oak Valley Counseling
• Emilee Oakden
• Kaitlin Kristi Oakes
• Daniel Max Oakey, DO

• Community/Retail Pharmacy in Salem, OR
• Providers in Salem, 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 Sep 27, 2023; 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.