Riddle Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

RP0000483CS Issued in OR

Legal business name

RIDDLE PHARMACY LLC

Practice address

142 Main Street
Riddle, OR 97469

Phone

(541) 874-2406

Fax

(541) 874-3256

NPI assigned

May 27, 2005

Last updated

May 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blake RiceNPI 1063437184

Title

Pharmacist

Phone

(541) 874-2406

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Rice

  • Pharmacist
  • Riddle, OR
  • NPI 1063437184
  NPD (past) Authorized official
• Kathryn Sue McGinnis, RPH

  • Pharmacist
  • Riddle, OR
  • NPI 1356360978
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1497758981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "RIDDLE",
            "state": "OR",
            "postal_code": "974690826",
            "telephone_number": "541-874-2406",
            "fax_number": "541-874-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MAIN STREET",
            "city": "RIDDLE",
            "state": "OR",
            "postal_code": "97469",
            "telephone_number": "541-874-2406",
            "fax_number": "541-874-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "541-874-2406"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0000483CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169490",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "269347",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Leon McElroy
• Kathryn Sue McGinnis, RPH
• Blake Rice
• Riddle Dental Care Associates
• Riddle Dental Care Associates
• South Umpqua Family Dental
• South Umpqua Family Dental PC

• Pharmacy in Riddle, OR
• Providers in Riddle, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.