NPIMap

Organization Active NPI

Ontario Clinic Pharmacy

  • Pharmacist
  • Ontario, OR
National Provider Identifier
1558355339
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP-0001468-CS Issued in OR
Legal business name
ONTARIO CLINIC PHARMACY
Practice address
293 SW 13TH St
Ontario, OR 97914-4530
Phone
(541) 881-1213
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Robert Fischer, RPHNPI 1265420624
Title
Pharmacist
Phone
(541) 881-1213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RP-0001468-CS OR Primary

Addresses

Primary practice location

293 SW 13TH St
Ontario, OR 97914-4530

Mailing address

293 SW 13TH St
Ontario, OR 97914-4530
Phone (541) 881-1213

Other identifiers 5

IdentifierTypeStateIssuer
292942MedicaidOR
0033549MedicaidID
134325MedicaidOR
0033548MedicaidID
3812244OtherNABP#

National Provider Directory

National Provider Directory
Tax ID family
Ontario Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

293 SW 13th St
Ontario, OR 97914
Phone (541) 881-1213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1558355339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 SW 13TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144530",
            "telephone_number": "541-881-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 SW 13TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144530",
            "telephone_number": "541-881-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "541-881-1213",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RP-0001468-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292942",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033549",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134325",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033548",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3812244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

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