Organization Active NPI

SRF Inc

  • Community/Retail Pharmacy
  • Medford, OR
National Provider Identifier
1295839256
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0000318 Issued in OR
Legal business name
SRF INC
Practice address
600 E Jackson St
Medford, OR 97504-6706
Phone
(541) 773-5345
Fax
(541) 779-7293
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Steven Frost, BS
Title
R.PH./Pres
Phone
(541) 773-5345

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RP0000318 OR Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

600 E Jackson St
Medford, OR 97504-6706

Mailing address

600 E Jackson St
Medford, OR 97504-6706
Phone (541) 773-5345

Other identifiers 2

IdentifierTypeStateIssuer
149443MedicaidOR
2077344OtherPK

Other names 1

  • Hawthorne Park Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

600 E Jackson St
Medford, OR 97504
Phone (541) 773-5345

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1295839256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046706",
            "telephone_number": "541-773-5345",
            "fax_number": "541-779-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046706",
            "telephone_number": "541-773-5345",
            "fax_number": "541-779-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "R.PH./PRES",
        "authorized_official_telephone_number": "541-773-5345",
        "authorized_official_credential": "BS"
    },
    "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": "RP0000318",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149443",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorne Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.