Organization Active NPI

Christiansen, LLC

Doing business as Hans' Pharmacy

  • Community/Retail Pharmacy
  • Prineville, OR
National Provider Identifier
1629118229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0001687-CS Issued in OR
Legal business name
CHRISTIANSEN, LLC
Doing business as
Hans' Pharmacy
Practice address
136 NE 3Rd St
Prineville, OR 97754-1915
Phone
(541) 416-1970
Fax
(541) 416-1972
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Hans Craigen Christiansen, RPH
Title
Owner
Phone
(541) 416-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP-0001687-CS OR Primary

Addresses

Primary practice location

136 NE 3Rd St
Prineville, OR 97754-1915

Mailing address

136 NE 3Rd St
Prineville, OR 97754-1915
Phone (541) 416-1970

Other identifiers 1

IdentifierTypeStateIssuer
210239MedicaidOR

Other names 1

  • HANS' PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629118229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 NE 3RD ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541915",
            "telephone_number": "541-416-1970",
            "fax_number": "541-416-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NE 3RD ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541915",
            "telephone_number": "541-416-1970",
            "fax_number": "541-416-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANSEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "CRAIGEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-416-1970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0001687-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210239",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANS' PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.