Active NPI
Billy Dakota Medlin, CPT
- Pharmacy Technician
- Ashland, OR
National Provider Identifier
1659991586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT-0010850
- Practice address
- 53 N 2ND St
Ashland, OR 97520-1889 - Phone
- (541) 428-3366
- NPI assigned
- Apr 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPT-0010850 | OR | Primary |
Addresses
Primary practice location
53 N 2ND St
Ashland, OR 97520-1889
Mailing address
100 N Pacific Hwy Apt 107
Talent, OR 97540-9505
Phone (409) 750-1258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-0010850 | OR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Drug Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Ashland, OR
- NPI 1386632214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1659991586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N PACIFIC HWY APT 107",
"city": "TALENT",
"state": "OR",
"postal_code": "975409505",
"telephone_number": "409-750-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 N 2ND ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201889",
"telephone_number": "541-428-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "BILLY",
"middle_name": "DAKOTA",
"credential": "CPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "CPT-0010850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.