NPIMap

Organization Active NPI

Open Door Community Health Centers

Doing business as Open Door Rx

  • Community/Retail Pharmacy
  • Eureka, CA
National Provider Identifier
1518632827
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OPEN DOOR COMMUNITY HEALTH CENTERS
Doing business as
Open Door Rx
Practice address
2515 Harrison Ave
Eureka, CA 95501-3220
Phone
(707) 826-8633
NPI assigned
Aug 10, 2021
Organization subpart
Yes
Parent organization
OPEN DOOR COMMUNITY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Stacy Watkins
Title
Chief Administrative Officer
Phone
(707) 826-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2515 Harrison Ave
Eureka, CA 95501-3220

Mailing address

1275 8TH St
Arcata, CA 95521-5770
Phone (707) 826-8633

Other names 1

  • Open Door Rx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smith River Community11 organizations share this tax ID, including this one
Part of
Smith River Community

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2515 Harrison Ave
Eureka, CA 95501
Phone (707) 443-7086

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1518632827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 8TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215770",
            "telephone_number": "707-826-8633",
            "fax_number": "707-826-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013220",
            "telephone_number": "707-826-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN DOOR COMMUNITY HEALTH CENTERS",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "707-826-8633"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Door Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Open Door Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.