Baker City Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0002658 Issued in OR

Legal business name

BAKER CITY PHARMACY LLC

Practice address

1920 Resort St
Baker City, OR 97814-2726

Phone

(541) 523-5231

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Jerry Yencopal

Title

Owner/Manager

Phone

(541) 523-6745

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Baker City Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1689954752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 RESORT ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142726",
            "telephone_number": "541-523-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 RESORT ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142726",
            "telephone_number": "541-523-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "YENCOPAL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "541-523-6745"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0002658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin W Ashton, QMHA
• Jeffrey Aaron Aster, R.PH
• Robert James Bachman, PT
• Steven Anthony Bachman, D.C.
• Teyona Marie Baireuther
• Baker Clinic, LLP
• Baker Dental Group
• Baker SD 5J
• Baker Vision Clinic, Inc.
• Christopher Kennett Baker

• Community/Retail Pharmacy in Baker City, OR
• Providers in Baker City, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.