Active NPI
Hollis R Hartley, RPH
- Pharmacist
- Lincoln City, OR
National Provider Identifier
1356641179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0009857
- Practice address
- 4101 NW Logan Rd
Lincoln City, OR 97367-5056 - Phone
- (541) 994-2500
- Fax
- (541) 994-8438
- NPI assigned
- Oct 26, 2010
- Last updated
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0009857 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0009857 | OR |
Addresses
Primary practice location
4101 NW Logan Rd
Lincoln City, OR 97367-5056
Mailing address
4101 NW Logan Rd
Lincoln City, OR 97367-5056
Phone (541) 994-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009857 | OR | MD | Pharmacist |
| RPH-0009857 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1356641179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 NW LOGAN RD",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675056",
"telephone_number": "541-994-2500",
"fax_number": "541-994-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 NW LOGAN RD",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675056",
"telephone_number": "541-994-2500",
"fax_number": "541-994-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "HOLLIS",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0009857",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0009857",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.