Active NPI
Cathy C Elliott
- Pharmacist
- Albany, OR
National Provider Identifier
1235460155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0006591
- Practice address
- 1700 Pacific Blvd SE
1700 Pacific Blvd.
Albany, OR 97321-4833 - Phone
- (541) 926-5214
- NPI assigned
- Jan 15, 2010
- Last updated
- Jan 15, 2010
- 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 | RPH-0006591 | OR | Primary |
Addresses
Primary practice location
1700 Pacific Blvd SE
1700 Pacific Blvd.
Albany, OR 97321-4833
Mailing address
1700 Pacific Blvd SE
1700 Pacific Blvd.
Albany, OR 97321-4833
Phone (541) 926-5214
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0006591 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1235460155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 PACIFIC BLVD SE",
"address_2": "1700 PACIFIC BLVD.",
"city": "ALBANY",
"state": "OR",
"postal_code": "973214833",
"telephone_number": "541-926-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PACIFIC BLVD SE",
"address_2": "1700 PACIFIC BLVD.",
"city": "ALBANY",
"state": "OR",
"postal_code": "973214833",
"telephone_number": "541-926-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "CATHY",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0006591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.