Active NPI
New Seasons Market - Happy Valley
- Community/Retail Pharmacy
- Happy Valley, OR
National Provider Identifier
1689873242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP-0002413-CS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Portland, OR
- NPI 1891853552
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1063433035
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.