Kasprzyk Enterprises, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0001132-CS Issued in OR

Legal business name

KASPRZYK ENTERPRISES, INC.

Doing business as

Medicine Shoppe

Practice address

289 E Ellendale Ave
Suite 402
Dallas, OR 97338-1580

Phone

(503) 623-5998

Fax

(503) 623-1173

NPI assigned

Jun 19, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Kasprzyk, RHH

Title

Pharmacist

Phone

(503) 623-5998

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hollywood Pharmacy Inc

  dba Medicine Shoppe

  • Community/Retail Pharmacy
  • Salem, OR
  • NPI 1982772786

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Hollywood Pharmacy Inc

  dba Medicine Shoppe

  • Community/Retail Pharmacy
  • Salem, OR
  • NPI 1982772786

  Member Of

  NPD member

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457396731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE",
            "address_2": "SUITE 402",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381580",
            "telephone_number": "503-623-5998",
            "fax_number": "503-623-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 E ELLENDALE AVE",
            "address_2": "SUITE 402",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381580",
            "telephone_number": "503-623-5998",
            "fax_number": "503-623-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASPRZYK ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KASPRZYK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-623-5998",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0001132-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020565",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3810416",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrica Kathleene Kankkonen
• Layni Marlene Kaplan, QMHA
• Nancy Kay Karatzas, RN
• Kasprzyk Enterprises Inc (Medicine Shoppe)
• Kasprzyk Enterprises Inc (Medicine Shoppe)
• Lea Camille Domingo Keenantasker, DPT
• Ellen Keithley-Garcia
• Charles M Kennedy, NCAC II
• Rosemary Kennedy, BS ELEMENTARY ED
• Wren Elliot Jane Kennedy

• Community/Retail Pharmacy in Dallas, OR
• Providers in Dallas, 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 Mar 7, 2023; 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.