Organization Active NPI

G and R Inc

Doing business as Medicap Pharmacy #8435

  • Community/Retail Pharmacy
  • Nyssa, OR
National Provider Identifier
1558359372
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
G AND R INC
Doing business as
Medicap Pharmacy #8435
Practice address
217 Main St
Nyssa, OR 97913-3843
Phone
(541) 372-2222
Fax
(541) 372-2928
NPI assigned
Oct 6, 2005
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Mr. Devin R Trone, PHARMDNPI 1972957645
Title
Owner/Pharmacist
Phone
(208) 288-1496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

217 Main St
Nyssa, OR 97913-3843

Mailing address

2790 W Cherry LN Ste 100
Meridian, ID 83642-1102
Phone (541) 372-2222

Other identifiers 1

IdentifierTypeStateIssuer
207852MedicaidOR

Other names 1

  • Medicap Pharmacy #8435 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200916000774 OR Part B Supplier - Mass Immunization (Roster Biller Only) 1850719386 Practice locations: Nyssa, OR

National Provider Directory

National Provider Directory
Tax ID family
G and R Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

217 Main St
Nyssa, OR 97913
Phone (541) 372-2222

424 Main St
Nyssa, OR 97913
Phone (541) 372-2222

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1558359372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W CHERRY LN STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421102",
            "telephone_number": "541-372-2222",
            "fax_number": "541-372-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "city": "NYSSA",
            "state": "OR",
            "postal_code": "979133843",
            "telephone_number": "541-372-2222",
            "fax_number": "541-372-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G AND R INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "TRONE",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "208-288-1496",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207852",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy #8435",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nyssa, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.