Active NPI
Mark Daniel Rath Raschkow, PHARMD
- Pharmacist
- Saint Helens, OR
National Provider Identifier
1386078541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13725
- Practice address
- 58646 McNulty Way Ste 116
Saint Helens, OR 97051-6210 - Phone
- (503) 438-4543
- Fax
- (503) 438-4543
- NPI assigned
- Aug 23, 2013
- Last updated
- May 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13725 | OR | Primary |
Addresses
Primary practice location
58646 McNulty Way Ste 116
Saint Helens, OR 97051-6210
Mailing address
13895 SW Meridian St Unit 212
Beaverton, OR 97005-2477
Phone (406) 855-2426
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13725 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Genoa Healthcare LLC | Past | Accepting new patients |
Locations
58646 McNulty Way
Ste 116
Saint Helens, OR 97051
Phone (503) 438-4543
Organizations & group practices 4
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.
-
- Long Term Care Pharmacy
- Saint Helens, OR
- NPI 1336644871
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1386078541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13895 SW MERIDIAN ST UNIT 212",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052477",
"telephone_number": "406-855-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58646 MCNULTY WAY STE 116",
"city": "SAINT HELENS",
"state": "OR",
"postal_code": "970516210",
"telephone_number": "503-438-4543",
"fax_number": "503-438-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASCHKOW",
"first_name": "MARK",
"middle_name": "DANIEL RATH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "13725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Helens, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.