Active NPI
Trevor Laursen, PHARMD
- Ambulatory Care Pharmacist
- Medford, OR
National Provider Identifier
1780109090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 0016737
- Practice address
- 3225 Hillcrest Park Dr
Medford, OR 97504-7657 - Phone
- (541) 774-5700
- NPI assigned
- Aug 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8689261-1701 | UT | |
| Ambulatory Care Pharmacist | 1835P2201X | 0016737 | OR | Primary |
Addresses
Primary practice location
3225 Hillcrest Park Dr
Medford, OR 97504-7657
Mailing address
3225 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (503) 893-6900
Other practice location 1
1698 E McAndrews Rd Ste 300
Medford, OR 97504-5590
Phone (541) 734-5068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8689261-1701 | UT | MD | Pharmacist |
| 0016737 | OR | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1780109090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 HILLCREST PARK DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047657",
"telephone_number": "503-893-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 HILLCREST PARK DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047657",
"telephone_number": "541-774-5700"
}
],
"practiceLocations": [
{
"address_1": "1698 E McAndrews Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975045590",
"country_code": "US",
"telephone_number": "541-734-5068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURSEN",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "8689261-1701",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OR",
"license": "0016737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.