Organization Active NPI

Hans Pharmacy Inc

  • Community/Retail Pharmacy
  • Prineville, OR
National Provider Identifier
1346492683
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0001687 Issued in OR
Legal business name
HANS PHARMACY INC
Practice address
136 NE 3Rd St
Prineville, OR 97754-1915
Phone
(541) 416-1970
Fax
(541) 416-1972
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Corey Donovan
Title
Manager
Phone
(541) 416-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP0001687 OR Primary

Addresses

Primary practice location

136 NE 3Rd St
Prineville, OR 97754-1915

Mailing address

136 NE 3Rd St
Prineville, OR 97754-1915
Phone (541) 416-1970

Other identifiers 2

IdentifierTypeStateIssuer
026060MedicaidOR
2117549OtherPK

Other names 1

  • Hans Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

136 NE 3rd St
Prineville, OR 97754
Phone (541) 416-1970

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1346492683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 NE 3RD ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541915",
            "telephone_number": "541-416-1970",
            "fax_number": "541-416-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NE 3RD ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541915",
            "telephone_number": "541-416-1970",
            "fax_number": "541-416-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-416-1970"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0001687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026060",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hans Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.