Active NPI
Damion Tyler Meany, PHARMD
- Pharmacist
- Medford, OR
National Provider Identifier
1164719902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0011785
- Practice address
- 1003 Medford Shopping Center
Safeway 0525
Medford, OR 97504 - Phone
- (541) 608-3686
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0011785 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | ORRPH-0011785-P | OR |
Addresses
Primary practice location
1003 Medford Shopping Center
Safeway 0525
Medford, OR 97504
Mailing address
1003 Medford Shopping Center
Safeway 0525
Medford, OR 97504
Phone (541) 608-3686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ORRPH-0011785-P | Other | OR | OREGON PHARMACIST LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0011785 | OR | MD | Pharmacist |
| ORRPH-0011785-P | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway 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
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1164719902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 MEDFORD SHOPPING CENTER",
"address_2": "SAFEWAY 0525",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-608-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 MEDFORD SHOPPING CENTER",
"address_2": "SAFEWAY 0525",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-608-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEANY",
"first_name": "DAMION",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0011785",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "ORRPH-0011785-P",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON PHARMACIST LICENSE",
"identifier": "ORRPH-0011785-P",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.