NW Pharmaceutical Compounding, Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

RP0001584CS Issued in OR

Legal business name

NW PHARMACEUTICAL COMPOUNDING, INC

Practice address

935 Willagillespie Rd
Suite B
Eugene, OR 97401-2106

Phone

(541) 431-7377

Fax

(541) 431-7378

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Forrest Fentress, RPH

Title

Pharmacist/President

Phone

(541) 431-7377

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1174838635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WILLAGILLESPIE RD",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012106",
            "telephone_number": "541-431-7377",
            "fax_number": "541-431-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WILLAGILLESPIE RD",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012106",
            "telephone_number": "541-431-7377",
            "fax_number": "541-431-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW PHARMACEUTICAL COMPOUNDING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "FENTRESS",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "541-431-7377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OR",
            "license": "RP0001584CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Nuno, MSW, QMHP, CADC CAND
• Zakary Aaron Kreider Nussbaum
• Holly Jane Nuthmann
• Kathleen Jeanette Nutt, M.S.W., L.C.S.W
• Nvision Movement LLC
• NW Therapy Collective LLC
• Jennifer L Nyberg
• Travis L Nyberg, D.C.
• Pamela Nyburg
• Laura D Nydigger, LPC

• Compounding Pharmacy in Eugene, OR
• Providers in Eugene, OR by specialty
• Compounding Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.