James D Pellerin

Primary specialty

PharmacistTaxonomy code 183500000X

License

8410 Issued in OR

Practice address

2510 Adams Ave
La Grande, OR 97850-3467

Phone

(541) 963-9515

NPI assigned

Jul 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1780108977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67835 SHAW CREEK RD",
            "city": "ELGIN",
            "state": "OR",
            "postal_code": "978278336",
            "telephone_number": "541-437-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 ADAMS AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503467",
            "telephone_number": "541-963-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLERIN",
        "first_name": "JAMES",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "8410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick M. Nearing, D.M.D., P.C.
• Destiny K Payne
• Andrew Clinton Pearson, D.O.
• Joelene Peasley, RN, MSN, FNP-C
• Jo Vierria Pedro-Frye, LPC, MS, PMP, CADC 1
• Amy Pennington, RN
• Catherine Perez, LMT
• Erica Perez
• Brandi Ann Perry, RN
• Margaret Gerba Perry, N.D.

• Pharmacist in La Grande, OR
• Providers in La Grande, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.