Eppik Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

IP0002152CS Issued in OR

Legal business name

EPPIK INC

Doing business as

Mikes Long Term Pharmacy

Practice address

201 Villa Rd Ste a
Newberg, OR 97132-1828

Phone

(503) 538-5715

Fax

(503) 537-1068

NPI assigned

Jul 19, 2006

Last updated

Apr 1, 2013By 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

Mike Douglas, RPH

Title

Owner

Phone

(503) 538-5715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MIKES LONG TERM PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1316966484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VILLA RD STE A",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321828",
            "telephone_number": "503-538-5715",
            "fax_number": "503-537-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VILLA RD STE A",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321828",
            "telephone_number": "503-538-5715",
            "fax_number": "503-537-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPPIK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-538-5715",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OR",
            "license": "IP0002152CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIKES LONG TERM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quinn Emerson, DO
• Emily Forbes Nutrition LLC
• Sandra Lee Emmons, MD
• Gregory Grayston Eppard, MD
• Eppik Inc (Mikes Medical Pharmacy)
• Eric P Bergquam DMD PC
• Liliana Espindola, LMT
• Dalton Quinn Estabrook, PA
• Lorene Etzel
• Evolving Hearts Therapy Inc

• Long Term Care Pharmacy in Newberg, OR
• Providers in Newberg, OR by specialty
• Long Term Care Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.