Organization Active NPI

Standiford Investments LLC

  • Community/Retail Pharmacy
  • Reedsport, OR
National Provider Identifier
1437294808
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0000475-CS Issued in OR
Legal business name
STANDIFORD INVESTMENTS LLC
Practice address
1409 Highway 101 S
Reedsport, OR 97467-1605
Phone
(541) 271-3631
Fax
(541) 271-4855
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Jamaica StandifordNPI 1194958462
Title
Manager
Phone
(541) 271-3631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RP-0000475-CS OR Primary

Addresses

Primary practice location

1409 Highway 101 S
Reedsport, OR 97467-1605

Mailing address

1409 Highway 101 S
Reedsport, OR 97467-1605
Phone (541) 271-3631

Other identifiers 2

IdentifierTypeStateIssuer
2157444OtherPK
170953MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Reedsport Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1409 Highway 101 S
Reedsport, OR 97467
Phone (541) 271-3631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1437294808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 101 S",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671605",
            "telephone_number": "541-271-3631",
            "fax_number": "541-271-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 101 S",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671605",
            "telephone_number": "541-271-3631",
            "fax_number": "541-271-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDIFORD INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "STANDIFORD",
        "authorized_official_first_name": "JAMAICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-271-3631"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000475-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170953",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.