Active NPI
Dan Inc
- Community/Retail Pharmacy
- Oregon City, OR
National Provider Identifier
1356563456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP-0000669-CS
- Legal business name
- DAN INC
- Practice address
- 1500 Molalla Ave
Oregon City, OR 97045 - Phone
- (503) 655-1221
- Fax
- (503) 657-0925
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Danielson
- Title
- Owner
- Phone
- (503) 655-9141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RP-0000669-CS | OR | Primary |
Addresses
Primary practice location
1500 Molalla Ave
Oregon City, OR 97045
Mailing address
PO Box 2200
Oregon City, OR 97045
Phone (503) 655-1221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048215 | Medicaid | OR | |
| 3806378 | Other | OR | NABP NCPDP |
| RP-0000669 | Other | OR | STATE LICENSE # |
Other names 1
- Danielson Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Oregon City, OR
- NPI 1215158043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1356563456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-655-1221",
"fax_number": "503-657-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MOLALLA AVE",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-655-1221",
"fax_number": "503-657-0925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "DANIELSON",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-655-9141",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "RP-0000669-CS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048215",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NCPDP",
"identifier": "3806378",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "RP-0000669",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Danielson Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.