Terry'S Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

RP0000443-CS Issued in OR

Legal business name

TERRY'S PHARMACY INC

Doing business as

Terry's Pharmacy

Practice address

1719 NE 16TH Ave
Portland, OR 97212-4422

Phone

(503) 288-4646

Fax

(503) 288-7200

NPI assigned

Sep 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terrance D Gerlach, RPH

Title

Pres.

Phone

(503) 288-4646

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Terry's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1700871852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 NE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124422",
            "telephone_number": "503-288-4646",
            "fax_number": "503-288-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 NE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124422",
            "telephone_number": "503-288-4646",
            "fax_number": "503-288-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "503-288-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0000443-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3807748",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "RP0000443-CS",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059972",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark A Terry, MD
• Morgan Terry, MD
• Nicole Terry
• Theresa Terry, PHARM.D.
• Vicki Lynne Terry, NP
• Isaac Tertel
• Terwilliger Dental PC
• Terwilliger Plaza, Inc.
• Terwilliger Plaza, Inc.
• Terwilliger Plaza, Inc.

• Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.