Organization Active NPI

New Seasons Market - Happy Valley

  • Community/Retail Pharmacy
  • Happy Valley, OR
National Provider Identifier
1689873242
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0002413-CS Issued in OR
Legal business name
NEW SEASONS MARKET - HAPPY VALLEY
Practice address
15861 SE Happy Valley Town Center Dr.
Happy Valley, OR 97086
Phone
(503) 558-9215
Fax
(503) 658-8470
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Eric L Foxman, R.PH.
Title
Pharmacy Manager
Phone
(503) 558-9215

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP-0002413-CS OR Primary
Compounding Pharmacy 3336C0004X RP-0002413-CS OR
Specialty Pharmacy 3336S0011X RP-0002413-CS OR

Addresses

Primary practice location

15861 SE Happy Valley Town Center Dr.
Happy Valley, OR 97086

Mailing address

15861 SE Happy Valley Town Center Dr.
Happy Valley, OR 97086
Phone (503) 558-9215

National Provider Directory

National Provider Directory
Tax ID family
New Season Market Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

15861 SE Happy Valley Town Center Dr
Happy Valley, OR 97086
Phone (503) 558-9215

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1689873242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15861 SE HAPPY VALLEY TOWN CENTER DR.",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-558-9215",
            "fax_number": "503-658-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15861 SE HAPPY VALLEY TOWN CENTER DR.",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-558-9215",
            "fax_number": "503-658-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SEASONS MARKET - HAPPY VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "FOXMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "503-558-9215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0002413-CS",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OR",
            "license": "RP-0002413-CS",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OR",
            "license": "RP-0002413-CS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.