NPIMap

Organization Active NPI

Rxdirect, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Milwaukie, OR
National Provider Identifier
1609890060
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
IP-0001408-CS Issued in OR
Legal business name
RXDIRECT, INC.
Practice address
16246 SE McLoughlin Blvd
Milwaukie, OR 97267-4657
Phone
(503) 657-9422
Fax
(503) 656-0278
NPI assigned
Jul 27, 2006
Organization subpart
Yes
Parent organization
RX DIRECT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Peter T NG, RPH
Title
Ceo
Phone
(503) 657-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X IP-0001408-CS OR Primary

Addresses

Primary practice location

16246 SE McLoughlin Blvd
Milwaukie, OR 97267-4657

Mailing address

16246 SE McLoughlin Blvd
Milwaukie, OR 97267-4657
Phone (503) 657-9422

Other identifiers 1

IdentifierTypeStateIssuer
005770MedicaidOR

Other names 1

  • Olson Institutional Pharmacy Services-DME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rxdirect Inc3 organizations share this tax ID, including this one
Part of
Rxdirect Inc

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1609890060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16246 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674657",
            "telephone_number": "503-657-9422",
            "fax_number": "503-656-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16246 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674657",
            "telephone_number": "503-657-9422",
            "fax_number": "503-656-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXDIRECT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RX DIRECT, INC",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-657-9422",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OR",
            "license": "IP-0001408-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005770",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olson Institutional Pharmacy Services-DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.