Medical Park Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

RP-0000490-CS Issued in OR

Legal business name

MEDICAL PARK PHARMACY

Practice address

1813 W Harvard Ave
Suite 210
Roseburg, OR 97470-2752

Phone

(541) 672-1800

Fax

(541) 672-5413

NPI assigned

Aug 11, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John S Svendsen, RPH

Title

Owner/Pharmacist

Phone

(541) 672-1800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICAL PARK UNITED DRUG Former legal business name

Tax ID family

Medical Park Pharmacy2 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.

• Medical Park Pharmacy

  • Community/Retail Pharmacy
  • Roseburg, OR
  • NPI 1447232533
  NPD tax ID

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699786665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 210",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-672-1800",
            "fax_number": "541-672-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "address_2": "SUITE 210",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702752",
            "telephone_number": "541-672-1800",
            "fax_number": "541-672-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SVENDSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "541-672-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "RP-0000490-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293106",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP (NABP)",
            "identifier": "3804437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PARK UNITED DRUG",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bryan Michael McVay, MD
• Kristen M Mead, CHW
• Sandra Lynn Medak, D.C.
• Medford Radiological Group PC
• Medical Park Pharmacy
• Andrew Tyler Medlock
• Brielle Louise Meeds, PHARMD
• Peggy Lee Meharry
• Sofia Mehr, DMD
• Kourosh Mehrazar, MD

• Durable Medical Equipment & Medical Supplies in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.