Grants Pass Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00225 Issued in OR

Legal business name

GRANTS PASS PHARMACY, INC.

Practice address

414 SW 6TH St
Grants Pass, OR 97526-2810

Phone

(541) 476-4262

Fax

(541) 474-1443

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Michele M Belcher, R.PH

Title

VP of Operations

Phone

(541) 476-4262

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grants Pass Pharmacy Doing business as

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1457411779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262810",
            "telephone_number": "541-476-4262",
            "fax_number": "541-474-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262810",
            "telephone_number": "541-476-4262",
            "fax_number": "541-474-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTS PASS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "541-476-4262",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "00225",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OR",
            "license": "00225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076356",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grants Pass Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Grants Pass Nursing & Rehab Center LLC
• Grants Pass of Olympus, LLC
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• Grants Pass Prosthodontics, PC
• Grants Pass Surgery Center, LLC
• Grants Pass Surgical Associates PC
• Grants Pass West of Olympus, LLC

• Community/Retail Pharmacy in Grants Pass, OR
• Providers in Grants Pass, 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 Aug 23, 2011; 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.