Kathryn Sue McGinnis, RPH
Individual provider Active NPI Pharmacist · Riddle, OR
NPI 1356360978 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356360978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7396 (OR)
- Practice address
- 142 Main St.
Riddle, OR 97469 - Phone
- (541) 874-2406
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7396 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riddle Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7396 | OR | Yes |
Addresses
Primary practice location
142 Main St.
Riddle, OR 97469
Mailing address
1120 Mark CT
Winston, OR 97496-9582
Phone (541) 679-6869
Other providers in Riddle, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.