Noeul Song

Primary specialty

PharmacistTaxonomy code 183500000X

License

0014518 Issued in OR

Practice address

901 Row River Rd
Cottage Grove, OR 97424-9558

Phone

(541) 942-0940

NPI assigned

Jun 24, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Walmart Inc.

  dba Walmart Pharmacy 10-2320

  • Community/Retail Pharmacy
  • Cottage Grove, OR
  • NPI 1417974569
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518372945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ROW RIVER RD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974244802",
            "telephone_number": "541-942-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROW RIVER RD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249558",
            "telephone_number": "541-942-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Coburg Rd # 420",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014802",
            "country_code": "US",
            "telephone_number": "541-688-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "NOEUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0014518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Smith, QMHA
• Matthew Smith, QMHA- PEER SUPPORT
• Suzanne M. Snellen, GNP
• Sol Transit Assisted Oregon Corp (Sol Transit)
• Jose Arnulfo Solis, D.O.
• South Lane Children's Dental Clinic
• South Lane County Fire and Rescue
• South Lane Mental Health Services, Inc
• South Lane Mental Health Services, Inc
• South Lane Physical Therapy LLC

• Pharmacist in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.