Blane A Yimesgen

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0016374 Issued in OR

Practice address

4041 NW Logan Rd
Lincoln City, OR 97367-5054

Phone

(541) 994-6262

NPI assigned

Nov 27, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05371

  • Community/Retail Pharmacy
  • Lincoln City, OR
  • NPI 1235145541
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1386158459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 N ATLANTIC AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 NW LOGAN RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675054",
            "telephone_number": "541-994-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIMESGEN",
        "first_name": "BLANE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0016374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolai Wohns, M.D.
• Roman Wolansky, DC
• Harrison Wood, PHARMD
• Michael Wright
• Yevette Wright
• Pamela Joan Zacher, L.P.T.A.

• Pharmacist in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.