Active NPI
Gloria N Virnig, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Salem, OR
National Provider Identifier
1548535487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10059
- Practice address
- 3450 Commercial St SE
Salem, OR 97302-4635 - Phone
- (503) 585-7660
- Fax
- (503) 585-3541
- NPI assigned
- Mar 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10059 | OR | Primary |
Addresses
Primary practice location
3450 Commercial St SE
Salem, OR 97302-4635
Mailing address
3450 Commercial St SE
Salem, OR 97302-4635
Phone (503) 585-7660
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10059 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc | Past | Accepting new patients | |
| Fred Meyer Stores Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331337600000",
"number": "1548535487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024635",
"telephone_number": "503-585-7660",
"fax_number": "503-585-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024635",
"telephone_number": "503-585-7660",
"fax_number": "503-585-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRNIG",
"first_name": "GLORIA",
"middle_name": "N",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-10",
"last_updated": "2012-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "10059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.