Organization Active NPI

Caris Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Junction City, OR
National Provider Identifier
1689324980
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CARIS PHARMACY, INC.
Practice address
94614 Or-99 W
Junction City, OR 97448
Phone
(458) 264-4020
Fax
(458) 264-4021
NPI assigned
Mar 28, 2022
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Brian Crook, RPH
Title
President
Phone
(541) 255-6244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

94614 Or-99 W
Junction City, OR 97448

Mailing address

PO Box 40221
Eugene, OR 97404-0028
Phone (541) 736-6169

Other identifiers 1

IdentifierTypeStateIssuer
500807429MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220701001391 OR Part B Supplier - Mass Immunization (Roster Biller Only) 0446630867 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Junction City, OR; Veneta, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Caris Pharmacy Inc2 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

94614 Highway 99 W
Junction City, OR 97448
Phone (458) 264-4020

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1689324980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40221",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974040028",
            "telephone_number": "541-736-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94614 OR-99 W",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "97448",
            "telephone_number": "458-264-4020",
            "fax_number": "458-264-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-255-6244",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500807429",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.