NPIMap

Organization Active NPI

Fairley's RX Inc

Doing business as Fairleys Healthcare

  • Long Term Care Pharmacy
  • Portland, OR
National Provider Identifier
1265695456
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
IP0002182CS Issued in OR
Legal business name
FAIRLEY'S RX INC
Doing business as
Fairleys Healthcare
Practice address
7206 NE Sandy Blvd
Suite B
Portland, OR 97213
Phone
(503) 281-7500
Fax
(503) 281-1211
NPI assigned
Jul 8, 2008
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Daniel Lee, PHARMD.
Title
Pharmacist in Charge
Phone
(425) 802-1891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X IP0002182CS OR Primary

Addresses

Primary practice location

7206 NE Sandy Blvd
Suite B
Portland, OR 97213

Mailing address

7206 NE Sandy Blvd
Ste:B
Portland, OR 97213-5741
Phone (503) 281-7500

Other identifiers 1

IdentifierTypeStateIssuer
279296MedicaidOR

Other names 1

  • FAIRLEYS HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Locations

7206 NE Sandy Blvd
Ste B
Portland, OR 97213
Phone (503) 281-7500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1265695456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 NE SANDY BLVD",
            "address_2": "STE:B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135741",
            "telephone_number": "503-281-7500",
            "fax_number": "503-281-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 NE SANDY BLVD",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-281-7500",
            "fax_number": "503-281-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLEY'S RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "425-802-1891",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OR",
            "license": "IP0002182CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279296",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRLEYS HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAIRLEYS HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.