Oregon Healthcare Pharmacy Services Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054.016954 Issued in IL

Legal business name

OREGON HEALTHCARE PHARMACY SERVICES INC

Doing business as

Oregon Healthcare Pharmacy Services Inc

Practice address

1100 Pines Rd
Oregon, IL 61061-9653

Phone

(815) 732-1422

Fax

(815) 732-1532

NPI assigned

Dec 18, 2006

Last updated

Dec 6, 2016By 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

Marc Mongan, RPH

Title

President

Phone

(815) 732-1422

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OREGON HEALTHCARE PHARMACY SERVICES INC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank A Thayer Jr., RPH

  • Pharmacist
  • Oregon, IL
  • NPI 1972228914
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1699838227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PINES RD",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610619653",
            "telephone_number": "815-732-1422",
            "fax_number": "815-732-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PINES RD",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610619653",
            "telephone_number": "815-732-1422",
            "fax_number": "815-732-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTHCARE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "MONGAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-732-1422",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054.016954",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020977",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OREGON HEALTHCARE PHARMACY SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oregon Cu School 220
• Oregon Dental LLC
• Oregon Fire Protection District
• Oregon Healthcare Center
• Oregon Healthcare Center
• Oregon Living & Rehabilitation Center
• Oregon Living & Rehabilitation Center, LLC
• Ashley Patterson, MHP
• Mary Katherine Pendleton, APRN
• Joyce Shirley Peterson, RN

• Pharmacy in Oregon, IL
• Providers in Oregon, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.