Rxdirect, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

IP-0001981-CS Issued in OR

Legal business name

RXDIRECT, INC.

Doing business as

Jennings McCall Center Pharmacy

Practice address

2300 Masonic Way
Forest Grove, OR 97116-2043

Phone

(503) 357-4499

Fax

(503) 357-4479

NPI assigned

Jul 26, 2006

Last updated

Feb 1, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

RX DIRECT, INCAs reported in NPPES

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

Authorized official

Name

Phuong M Phan, CPHT

Title

Administrator

Phone

(503) 657-9422

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennings McCall Center Pharmacy Doing business as

Tax ID family

Rxdirect Inc3 organizations share this tax ID, including this one

Part of

Rxdirect Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• RX Direct Inc

  dba Olson Institutional Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Milwaukie, OR
  • NPI 1346438124
  NPD tax ID
• Rxdirect, Inc.

  dba Olson Institutional Pharmacy Services-DME

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Milwaukie, OR
  • NPI 1609890060
  NPD tax ID

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1750304838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16246 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97267",
            "telephone_number": "503-657-9422",
            "fax_number": "503-656-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MASONIC WAY",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162043",
            "telephone_number": "503-357-4499",
            "fax_number": "503-357-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXDIRECT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RX DIRECT, INC",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-657-9422",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP-0001701-CS",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OR",
            "license": "IP-0001981-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210400",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings McCall Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Long Term Care Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.