Active NPI
Ashland Drug Inc.
- Pharmacy
- Ashland, OR
National Provider Identifier
1386632214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 00111
- Legal business name
- ASHLAND DRUG INC.
- Practice address
- 53 N. Second St.
Ashland, OR 97520 - Phone
- (541) 482-3366
- Fax
- (541) 482-2736
- NPI assigned
- Oct 13, 2005
- Last updated
- Apr 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Fidel Hernandez
- Title
- Owner
- Phone
- (541) 482-3366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 00111 | OR | Primary |
Addresses
Primary practice location
53 N. Second St.
Ashland, OR 97520
Mailing address
53 N. Second St.
Ashland, OR 97520
Phone (541) 482-3366
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170160 | Medicaid | OR | |
| 816033000 | Other | OR | REGENCE BLUE CROSS BLUE S |
| 0380084-02 | Other | OR | REGENCE HMO OREGON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120124000228 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870612724 | Practice locations: Ashland, OR |
National Provider Directory
National Provider DirectoryLocations
275 E Main St
Ashland, OR 97520
Phone (541) 482-3366
53 N 2nd St
Ashland, OR 97520
Phone (541) 428-3366
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Ashland, OR
- NPI 1316210453
-
- Pharmacist
- Ashland, OR
- NPI 1003218173
-
- Pharmacy Technician
- Ashland, OR
- NPI 1659991586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618358400000",
"number": "1386632214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 N. SECOND ST.",
"city": "ASHLAND",
"state": "OR",
"postal_code": "97520",
"telephone_number": "541-482-3366",
"fax_number": "541-482-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 N. SECOND ST.",
"city": "ASHLAND",
"state": "OR",
"postal_code": "97520",
"telephone_number": "541-482-3366",
"fax_number": "541-482-2736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHLAND DRUG INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-13",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "FIDEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-482-3366"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OR",
"license": "00111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170160",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS BLUE S",
"identifier": "816033000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE HMO OREGON",
"identifier": "0380084-02",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
- Ashland Center for Couples
- Ashland Center for Women's Health
- Ashland Commmunity Healthcare Services
- Ashland Community Healthcare Services (Asante Ashland Community Hospital)
- Ashland Counseling Associates
- Ashland Electrolysis & Skin Aesthetics, LLC
- Ashland Emergency Associates, P.C.
- Ashland Eye Care PC
- Ashland Family Dentistry, LLC
- Ashland Family Health Care PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.