Drug Mart Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0001239 Issued in OR

Legal business name

DRUG MART PHARMACY INC

Doing business as

DRUG MART PHARMACY

Practice address

51600 Huntington Rd
Ste a
La Pine, OR 97739-8887

Phone

(541) 536-1111

Fax

(541) 536-1980

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Brandon Sandoval

Title

Owner

Phone

(541) 536-1111

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• DRUG MART PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah M Bishop X, RPH.

  • Pharmacist
  • La Pine, OR
  • NPI 1912480575
  NPD
• Ashley Sandoval, PHARMD

  • Pharmacist
  • La Pine, OR
  • NPI 1972251619
  NPD
• John C Land, MD

  • Surgery Physician
  • Redmond, OR
  • NPI 1649228131
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1366507782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977390159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "address_2": "STE A",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-1111",
            "fax_number": "541-536-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG MART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-536-1111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "0001239",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043849",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DRUG MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Cody, FNP
• Hayley Crosby
• Kathryn Dailey, DPT
• Shelley M Dickason, QMHA
• Sarah Anne Dornon
• Celestine Michelle Dubose
• Kimberly Ann Dudash Rafilson
• Debora Dawn Dufort, PWS
• David Kimlin Dunscombe, DDS
• Andrew L Emerson, PT, MSPT

• Community/Retail Pharmacy in La Pine, OR
• Providers in La Pine, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.