Dahisse Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DAHISSE INC

Doing business as

Myrtle Drugs LTC

Practice address

821 S Main St
Myrtle Creek, OR 97457-9334

Phone

(541) 391-8321

Fax

(541) 391-8381

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Shane Harrell

Title

Owner

Phone

(360) 244-5984

Specialties & licenses 1

Addresses

Other names 1

• Myrtle Drugs LTC Doing business as

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1215782339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974579334",
            "telephone_number": "541-391-8321",
            "fax_number": "541-391-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHISSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-244-5984"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtle Drugs LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lora Castro
• Centennial Medical Group East, LLC (Evergreen Family Medicine South)
• Samantha Christensen, RN
• Augustine F Colebrook, CPM, LM
• Rachel Michelle Crawford
• Dahisse Inc (Myrtle Drugs)
• Tyler Dearing, PHARM.D
• Oswald John Fett
• Mindy Frye
• Lynn E Goodwin, OD

• Long Term Care Pharmacy in Myrtle Creek, OR
• Providers in Myrtle Creek, OR by specialty
• Long Term Care Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.