Active NPI
Randall Rohaul Skirvin, D.PH.
- Pharmacist
- Junction City, OR
National Provider Identifier
1780957456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH0010737
- Practice address
- 110 E 6TH Ave
Junction City, OR 97448-1807 - Phone
- (541) 998-6498
- Fax
- (541) 998-6693
- NPI assigned
- Feb 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0010737 | OR | Primary |
Addresses
Primary practice location
110 E 6TH Ave
Junction City, OR 97448-1807
Mailing address
110 E 6TH Ave
Junction City, OR 97448-1807
Phone (541) 998-6498
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0010737 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1780957456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 6TH AVE",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974481807",
"telephone_number": "541-998-6498",
"fax_number": "541-998-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 6TH AVE",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974481807",
"telephone_number": "541-998-6498",
"fax_number": "541-998-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIRVIN",
"first_name": "RANDALL",
"middle_name": "ROHAUL",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0010737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.