Individual provider Active NPI

Joshua L Dahlenburg, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Winston, OR
National Provider Identifier
1497110605
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RPH-00100440 Issued in OR
Practice address
250 NW Main St
Winston, OR 97496-6574
Phone
(541) 236-7060
Fax
(541) 236-7061
NPI assigned
Dec 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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-00100440 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-00100440 OR Primary

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

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH-00100440ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Town Drugs of Roseburg Inc Current Accepting new patients
Home Town Drugs of Roseburg Inc Current Accepting new patients
Valley Drugs, Inc. CurrentSince Jun 25, 2023 Accepting new patients

Locations

157 NW Douglas Blvd
Winston, OR 97496
Phone (541) 236-7060

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1497110605",
    "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": {
        "last_name": "DAHLENBURG",
        "first_name": "JOSHUA",
        "middle_name": "L",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-00100440",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-00100440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2023; 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.