Active NPI
Apollo Pharmacy Group, Inc.
- Long Term Care Pharmacy
- Sutherlin, OR
National Provider Identifier
1568220101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- APOLLO PHARMACY GROUP, INC.
- Practice address
- 113 E Central Ave
Sutherlin, OR 97479-9556 - Phone
- (541) 459-2712
- NPI assigned
- Mar 8, 2024
- 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
- Laura Tripp
- Title
- President
- Phone
- (940) 453-9218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
113 E Central Ave
Sutherlin, OR 97479-9556
Mailing address
6557 S 2600 E
Salt Lake City, UT 84121-2341
Phone (940) 453-9218
Other names 1
- Sutherlin Drug
National Provider Directory
National Provider Directory- Tax ID family
- Apollo Pharmacy Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Sutherlin, OR
- NPI 1184779548
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- South Salt Lake, UT
- NPI 1033813647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1568220101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6557 S 2600 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841212341",
"telephone_number": "940-453-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E CENTRAL AVE",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "974799556",
"telephone_number": "541-459-2712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO PHARMACY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "TRIPP",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-453-9218"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sutherlin Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sutherlin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.