NPIMap

Individual provider Active NPI

Louis Zeeger Deenik, BPHARM

  • Pharmacist
  • Redmond, OR
National Provider Identifier
1225327752
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11005 Issued in OR
Practice address
1651 SW Odem Medo Rd
Redmond, OR 97756-9573
Phone
(541) 548-6041
Fax
(541) 923-6048
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11005 OR Primary

Addresses

Primary practice location

1651 SW Odem Medo Rd
Redmond, OR 97756-9573

Mailing address

1651 SW Odem Medo Rd
Redmond, OR 97756-9573
Phone (541) 548-6041

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

State licenses

LicenseStateTypeSpecialty
11005ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Oregon CVS Pharmacy LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1225327752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 SW ODEM MEDO RD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569573",
            "telephone_number": "541-548-6041",
            "fax_number": "541-923-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 SW ODEM MEDO RD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569573",
            "telephone_number": "541-548-6041",
            "fax_number": "541-923-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEENIK",
        "first_name": "LOUIS",
        "middle_name": "ZEEGER",
        "name_prefix": "Mr.",
        "credential": "BPHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "11005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.