Active NPI
Laura L Villa, PHARMD
- Pharmacist
- Medford, OR
National Provider Identifier
1184975120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9220
- Practice address
- 616 Market St
Medford, OR 97504-6126 - Phone
- (541) 535-6239
- NPI assigned
- Oct 1, 2012
- Last updated
- Nov 4, 2025
- 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 | 9220 | OR | Primary |
Addresses
Primary practice location
616 Market St
Medford, OR 97504-6126
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Other practice location 1
3617 S Pacific Hwy
Medford, OR 97501-8957
Phone (541) 535-6239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9220 | Other | OR | STATE 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 |
|---|---|---|---|
| 9220 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1184975120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 CHEVY WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 MARKET ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046126",
"telephone_number": "541-535-6239"
}
],
"practiceLocations": [
{
"address_1": "3617 S Pacific Hwy",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975018957",
"country_code": "US",
"telephone_number": "541-535-6239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLA",
"first_name": "LAURA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "9220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "9220",
"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 Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.