Sirum Charitable Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

CP-0000014 Issued in OR

Legal business name

SIRUM CHARITABLE PHARMACY

Practice address

334 SE 5TH Ave Ste B
Hillsboro, OR 97123-4107

Phone

(503) 648-0782

Fax

(844) 238-3420

NPI assigned

Apr 19, 2016

Organization subpart

No

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

Authorized official

Name

George Wang

Title

Co-Founder & Director

Phone

(650) 488-7434

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SIRUM Charitable Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1154775864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ALMA ST APT 116",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253748",
            "telephone_number": "650-488-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SE 5TH AVE STE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234107",
            "telephone_number": "503-648-0782",
            "fax_number": "844-238-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRUM CHARITABLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CO-FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "650-488-7434"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "CP-0000014",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIRUM Charitable Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simon Toader DMD LLC
• Cady Jane Simpson
• Andrew H Singh, MD
• Rahul Ritesh Singh
• Steven Singh, DDS
• Elizabeth Marie Sitterley, DPT
• Louise E Sivak, MD
• Conlin Eric Skaar, PT, DPT
• Denise Ann Skeen
• Geoffrey A Skinner, D.D.S.

• Pharmacy in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.