Organization Active NPI

Valley Drugs, Inc.

  • Community/Retail Pharmacy
  • Winston, OR
National Provider Identifier
1487085932
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0002856-CS Issued in OR
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

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Joshua DahlenburgNPI 1497110605
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2143316OtherPK
500668045MedicaidOR

Other names 1

  • Valley Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140707000634 OR Part B Supplier - Mass Immunization (Roster Biller Only) 9133344179 Practice locations: Winston, OR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.