Organization Active NPI

Parko Inc

  • Clinic Pharmacy
  • McMinnville, OR
National Provider Identifier
1659621845
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
RP0002745 Issued in OR
Legal business name
PARKO INC
Practice address
2435 NE Cumulus Ave Ste C
McMinnville, OR 97128-8805
Phone
(503) 472-2148
Fax
(971) 261-2263
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Nicole Winnen, R.PH.
Title
Owner/Pic
Phone
(503) 472-2146

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X RP0002745 OR Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2435 NE Cumulus Ave Ste C
McMinnville, OR 97128-8805

Mailing address

2435 NE Cumulus Ave Ste C
McMinnville, OR 97128-8805
Phone (503) 472-2148

Other identifiers 1

IdentifierTypeStateIssuer
2137484OtherPK

Other names 1

  • Mac Prescription Shop at PMC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mac Prescription Shop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2435 NE Cumulus Ave
Ste C
McMinnville, OR 97128
Phone (503) 472-2148

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1659621845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288805",
            "telephone_number": "503-472-2148",
            "fax_number": "971-261-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE STE C",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288805",
            "telephone_number": "503-472-2148",
            "fax_number": "971-261-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "WINNEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "503-472-2146",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OR",
            "license": "RP0002745",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mac Prescription Shop at PMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.