Teamster Local 670, Health Div., Cannery Dist. Co. Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

333600000X Issued in OR

Legal business name

TEAMSTER LOCAL 670, HEALTH DIV., CANNERY DIST. CO. INC

Practice address

750 Browning Ave SE
Salem, OR 97302-3806

Phone

(503) 581-3419

Fax

(503) 581-1134

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Howard Douglas Elwood, RPH

Title

Pharmacist/Manager

Phone

(503) 581-3419

Specialties & licenses 1

Addresses

Other names 1

• Labor Center Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Mark Farris, RPH

  • Pharmacist
  • Salem, OR
  • NPI 1437637436
  NPD (past)

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1649719287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BROWNING AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023806",
            "telephone_number": "503-581-3419",
            "fax_number": "503-581-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROWNING AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023806",
            "telephone_number": "503-581-3419",
            "fax_number": "503-581-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMSTER LOCAL 670, HEALTH DIV., CANNERY DIST. CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "ELWOOD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "503-581-3419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "333600000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Labor Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rexel Woodrow Taylor, LLPC
• Travis Johnathan Taylor, O.D.
• TCD Endodontics
• Lauren Michelle Teague
• Malachi William Teague, RN
• Richard S Teel, RICHARD TEEL
• Shandiz Tehrani, MD, PHD
• Telegenix Provider Group, LLC
• Andrew Teller
• Peter Wayne Teller, M.A.

• Community/Retail Pharmacy in Salem, OR
• Providers in Salem, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.