Fairley's RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FAIRLEY'S RX INC

Practice address

7206 NE Sandy Blvd
Portland, OR 97213

Phone

(503) 284-1159

Fax

(503) 281-1211

NPI assigned

Mar 24, 2006

Last updated

Aug 19, 2021By 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

Daniel Lee, PHARMD.

Title

Pharmacist in Charge

Phone

(425) 802-1891

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• LBN Fairleys Inc Former legal business name
• Fairley's Pharmacy Other name

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.

• Shawna L Laxson, RPH

  • Pharmacist
  • Portland, OR
  • NPI 1144772419
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1740240589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-284-1159",
            "fax_number": "503-281-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-284-1159",
            "fax_number": "503-281-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLEY'S RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "425-802-1891",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0000356CS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LBN Fairleys Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Fairley's Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Veronika Madelyne Fairchild
• Michael Fairgrieve
• Nora Lou Fairley, MD
• Ryan Fairley
• Fairley's RX Inc (Fairleys Healthcare)
• Mary Fakhoury
• Sarah Fakhoury
• Shahrzad Vossoughi Fakhravar, L.AC.
• Rosemary Boitumelo Falama
• Julie Falardeau, MD

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, 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 Aug 19, 2021; 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.