Individual provider Active NPI

Joseph Ervin, RPH

  • Pharmacist
  • Brownsville, OR
National Provider Identifier
1689096737
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7021 Issued in OR
Practice address
411 N Main St
Brownsville, OR 97327-2147
Phone
(541) 466-5112
Fax
(541) 466-5756
NPI assigned
Jan 8, 2014
Last updated
Jan 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7021 OR Primary

Addresses

Primary practice location

411 N Main St
Brownsville, OR 97327-2147

Mailing address

PO Box 248
Brownsville, OR 97327-0248
Phone (541) 466-5112

Other identifiers 1

IdentifierTypeStateIssuer
1871660357OtherNPI, ERVIN'S DEVELOPMENT, INC; DBA BROWNSVILLE PHARMACY

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7021ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ervins Development Inc Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1689096737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "BROWNSVILLE",
            "state": "OR",
            "postal_code": "973270248",
            "telephone_number": "541-466-5112",
            "fax_number": "541-466-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N MAIN ST",
            "city": "BROWNSVILLE",
            "state": "OR",
            "postal_code": "973272147",
            "telephone_number": "541-466-5112",
            "fax_number": "541-466-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, ERVIN'S DEVELOPMENT, INC; DBA BROWNSVILLE PHARMACY",
            "identifier": "1871660357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.