NPIMap

Organization Active NPI

Synergy Medical Systems LLC

  • Community/Retail Pharmacy
  • Eugene, OR
National Provider Identifier
1306037825
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0002412 Issued in OR
Legal business name
SYNERGY MEDICAL SYSTEMS LLC
Doing business as
SYNERGY RX
Practice address
55 Coburg Rd Ste 105
Eugene, OR 97401-2433
Phone
(541) 342-4928
Fax
(541) 342-4930
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Lacy Miron, PHARMD
Title
Pic,Ao
Phone
(541) 342-4928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RP0002412 OR Primary

Addresses

Primary practice location

55 Coburg Rd Ste 105
Eugene, OR 97401-2433

Mailing address

1710 Willow Creek Cir
Suite 1
Eugene, OR 97402-9192
Phone (541) 343-3758

Other identifiers 2

IdentifierTypeStateIssuer
2079562OtherPK
274629MedicaidOR

Other names 1

  • SYNERGY RX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Synergy Medical Systems LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Coburg Rd
Ste 105
Eugene, OR 97401
Phone (541) 342-4928

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1306037825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WILLOW CREEK CIR",
            "address_2": "SUITE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029192",
            "telephone_number": "541-343-3758",
            "fax_number": "541-852-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COBURG RD STE 105",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012433",
            "telephone_number": "541-342-4928",
            "fax_number": "541-342-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MIRON",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "PIC,AO",
        "authorized_official_telephone_number": "541-342-4928",
        "authorized_official_credential": "PHARMD"
    },
    "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": "RP0002412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079562",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274629",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.