Individual provider Active NPI

Matthew E Lassfolk, R.PH., M.S.

  • Pharmacist
  • Grants Pass, OR
National Provider Identifier
1457620635
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0007639 Issued in OR
Practice address
1690 Allen Creek Rd
Grants Pass, OR 97527-5559
Phone
(541) 471-9046
NPI assigned
Dec 18, 2011
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH-0007639ORMDPharmacist
RPH-7639ORMDPharmacist 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.

Verify at the official NPI Registry.