Geoffrey Pitluck, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-10193 Issued in OR

Practice address

699 Wallace Rd NW
Salem, OR 97304-3834

Phone

(503) 428-5073

NPI assigned

Sep 12, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Salem, OR
  • NPI 1336298181
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1376944058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043834",
            "telephone_number": "503-428-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043834",
            "telephone_number": "503-428-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITLUCK",
        "first_name": "GEOFFREY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-10193",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020298A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Marie Pinkerton
• Shahana Ellen Pipkin
• Gregory L Pirkl, MD
• Annika Kristina Ilse Piros
• Leslie Janelle Pitchford, PHD
• Lucas Pitman, LPC
• Steven Craig Pitman, P.T.
• Ashley Pittman, RN
• Rick Dewitt Pittman, MD
• Zilmillia Rachelle Pittman

• Pharmacist in Salem, OR
• Providers in Salem, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.