Active NPI
Matthew E Lassfolk, R.PH., M.S.
- Pharmacist
- Grants Pass, OR
National Provider Identifier
1457620635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0007639
- Practice address
- 1690 Allen Creek Rd
Grants Pass, OR 97527-5559 - Phone
- (541) 471-9046
- NPI assigned
- Dec 18, 2011
- Last updated
- Feb 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0007639 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-7639 | OR |
Addresses
Primary practice location
1690 Allen Creek Rd
Grants Pass, OR 97527-5559
Mailing address
1400 NE Heritage Dr
Grants Pass, OR 97526-3503
Phone (541) 660-4323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0007639 | OR | MD | Pharmacist |
| RPH-7639 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1457620635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NE HERITAGE DR",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263503",
"telephone_number": "541-660-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 ALLEN CREEK RD",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275559",
"telephone_number": "541-471-9046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSFOLK",
"first_name": "MATTHEW",
"middle_name": "E",
"credential": "R.PH., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-18",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0007639",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-7639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.