Active NPI
Downtown Pharmacy Inc
Doing business as Christian's Downtown Pharmacy
- Community/Retail Pharmacy
- Medford, OR
National Provider Identifier
1659312023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP0001965CS
- Legal business name
- DOWNTOWN PHARMACY INC
- Doing business as
- Christian's Downtown Pharmacy
- Practice address
- 333 N Riverside Ave
Medford, OR 97501-5937 - Phone
- (541) 776-0606
- Fax
- (541) 776-0404
- NPI assigned
- Jun 9, 2006
- Last updated
- Mar 11, 2015
- 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
- Isaac Wine, RPH
- Title
- Owner
- Phone
- (541) 776-0606
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | RP0001965CS | OR | Primary |
Addresses
Primary practice location
333 N Riverside Ave
Medford, OR 97501-5937
Mailing address
333 N Riverside Ave
Medford, OR 97501-5937
Phone (541) 776-0606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278267 | Medicaid | OR | |
| 2079204 | Other | PK |
Other names 1
- CHRISTIAN'S DOWNTOWN PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Downtown Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
333 N Riverside Ave
Medford, OR 97501
Phone (541) 776-0606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1659312023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N RIVERSIDE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975015937",
"telephone_number": "541-776-0606",
"fax_number": "541-776-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N RIVERSIDE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975015937",
"telephone_number": "541-776-0606",
"fax_number": "541-776-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "WINE",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-776-0606",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "RP0001965CS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278267",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2079204",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHRISTIAN'S DOWNTOWN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.