Active NPI
Ginger Marie Whitt X
- Pharmacist
- Shady Cove, OR
National Provider Identifier
1154790061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06436
- Practice address
- 21195 Highway 62
Shady Cove, OR 97539-9715 - Phone
- (541) 878-3151
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 06436 | OR | Primary |
Addresses
Primary practice location
21195 Highway 62
Shady Cove, OR 97539-9715
Mailing address
21195 Highway 62
Shady Cove, OR 97539-9715
Phone (541) 878-3151
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Drug Store Inc | Past | Accepting new patients | |
| Central Drug Store Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shady Cove Pharmacy
- Community/Retail Pharmacy
- Shady Cove, OR
- NPI 1790830446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154790061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21195 HIGHWAY 62",
"city": "SHADY COVE",
"state": "OR",
"postal_code": "975399715",
"telephone_number": "541-878-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21195 HIGHWAY 62",
"city": "SHADY COVE",
"state": "OR",
"postal_code": "975399715",
"telephone_number": "541-878-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITT",
"first_name": "GINGER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"name_suffix": "X",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "06436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shady Cove, OR
Sources for this page
- 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.