Wheeler Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0000582CS Issued in OR

Legal business name

WHEELER PHARMACY INC

Doing business as

Wheeler Pharmacy Health Mart

Practice address

625 Nehalem Blvd
Wheeler, OR 97147

Phone

(503) 368-5783

Fax

(503) 368-7595

NPI assigned

Mar 9, 2007

Last updated

Sep 12, 2007By 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 Collett, RPH

Title

President

Phone

(503) 368-5783

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• WHEELER PHARMACY HEALTH MART Doing business as

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1255462180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "971470067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 NEHALEM BLVD",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "97147",
            "telephone_number": "503-368-5783",
            "fax_number": "503-368-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-368-5783",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000582CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216655",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3805364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3805364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHEELER PHARMACY HEALTH MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Frank Taccogna, DC
• Tanya Tannenbaum
• Bernadette K Thomas, APRN, MSN, MPH, DNP
• Karin Walczak, M.D.
• Wheeler Care Center LLC (Nehalem Valley Care Center)

• Community/Retail Pharmacy in Wheeler, OR
• Providers in Wheeler, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.