Prostar Pharmacy Consultants LLC

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

License

RP0002261CS Issued in OR

Legal business name

PROSTAR PHARMACY CONSULTANTS LLC

Doing business as

MonaCare Pharmacy

Practice address

91320 Coburg Industrial Way
BLDG 19
Coburg, OR 97408

Phone

(541) 681-8117

Fax

(541) 681-8164

NPI assigned

Oct 20, 2006

Last updated

Jul 30, 2008By 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

Mrs. Victoria L StarrNPI 1376620088

Title

Pharmacist

Phone

(541) 681-8117

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MonaCare Pharmacy Doing business as

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.

• Victoria Louise Starr, RPH

  • Pharmacist
  • Coburg, OR
  • NPI 1376620088
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1760564561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91320 COBURG INDUSTRIAL WAY",
            "address_2": "BLDG 19",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-681-8117",
            "fax_number": "541-681-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91320 COBURG INDUSTRIAL WAY",
            "address_2": "BLDG 19",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-681-8117",
            "fax_number": "541-681-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTAR PHARMACY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "541-681-8117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "OR",
            "license": "RP0002261CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3842184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MonaCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Aubrey Phinney
• Angelina Michelle Pierce, CADC, CRM II
• Monica Powell
• Andrew Patrick Prior
• Colleen Johnette Prior, CADC 1
• John Ramirez Escobar
• Jasmine Ramirez-Miranda, MS
• Jonathan Randleman
• Jacob Ray
• Rebecca Reynolds, CADC I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.