Active NPI
G and R Inc
Doing business as Medicap Pharmacy #8435
- Community/Retail Pharmacy
- Nyssa, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Devin R Trone, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207852 | Medicaid | OR |
Other names 1
- Medicap Pharmacy #8435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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.
-
- Pharmacist
- Meridian, ID
- NPI 1972957645
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.