Active NPI
Valley Drugs, Inc.
- Community/Retail Pharmacy
- Winston, OR
National Provider Identifier
1487085932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP-0002856-CS
- Legal business name
- VALLEY DRUGS, INC.
- Practice address
- 250 NW Main St
Winston, OR 97496-6574 - Phone
- (541) 236-7060
- Fax
- (541) 236-7061
- NPI assigned
- Dec 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Dahlenburg
- Title
- Owner
- Phone
- (541) 236-7060
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | RP-0002856-CS | OR | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
250 NW Main St
Winston, OR 97496-6574
Mailing address
250 NW Main St
Winston, OR 97496-6574
Phone (541) 236-7060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2143316 | Other | PK | |
| 500668045 | Medicaid | OR |
Other names 1
- Valley Drugs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140707000634 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133344179 | Practice locations: Winston, OR |
National Provider Directory
National Provider DirectoryLocations
157 NW Douglas Blvd
Winston, OR 97496
Phone (541) 236-7060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Winston, OR
- NPI 1497110605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1487085932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NW MAIN ST",
"city": "WINSTON",
"state": "OR",
"postal_code": "974966574",
"telephone_number": "541-236-7060",
"fax_number": "541-236-7061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NW MAIN ST",
"city": "WINSTON",
"state": "OR",
"postal_code": "974966574",
"telephone_number": "541-236-7060",
"fax_number": "541-236-7061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-10",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "DAHLENBURG",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-236-7060"
},
"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-0002856-CS",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2143316",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500668045",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Drugs",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.