Hometown Drugs of Sutherlin, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HOMETOWN DRUGS OF SUTHERLIN, INC.

Doing business as

Sutherlin Drug

Practice address

113 E Central Ave.
Sutherlin, OR 97479

Phone

(541) 459-2712

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

HOMETOWN DRUGS OF SUTHERLIN, INC.As reported in NPPES

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

Authorized official

Name

David Debysingh, RPH

Title

Owner/Pic

Phone

(541) 459-2712

Specialties & licenses 2

Addresses

Other names 1

• Sutherlin Drug Doing business as

Part of

Home Town Drugs of Sutherlin Inc

Locations

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1407416100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E. CENTRAL AVE",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "97479",
            "telephone_number": "541-459-2712",
            "fax_number": "541-459-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E CENTRAL AVE.",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "97479",
            "telephone_number": "541-459-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN DRUGS OF SUTHERLIN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN DRUGS OF SUTHERLIN, INC.",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "DEBYSINGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "541-459-2712",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutherlin Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Givens, LCSW
• Nathan W. Goodman, D.C.
• Mackenzie Harris, EPDH
• Fred Luke Herscher, DO
• Dan Wakefield Hirtle, PT
• J & I Black, Inc. (Sutherlin Drug)
• James J. Hein
• Rick A. Johnson, RPH
• Deborah Ann Koopman, DNP, FNP
• Anna Kulacz-McNett, PA-C

• Community/Retail Pharmacy in Sutherlin, OR
• Providers in Sutherlin, 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 Jun 17, 2019; 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.