Mark W Kashishian, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0008241 Issued in OR

Practice address

506 E Main St
Rogue River, OR 97537-9615

Phone

(541) 582-0559

Fax

(541) 582-3045

NPI assigned

Mar 25, 2013

Last updated

Mar 25, 2013By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WSG Corp

  dba Rogue River Pharmacy #1138

  • Community/Retail Pharmacy
  • Rogue River, OR
  • NPI 1013063619
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1790027068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975370700",
            "telephone_number": "541-582-0559",
            "fax_number": "541-582-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E MAIN ST",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379615",
            "telephone_number": "541-582-0559",
            "fax_number": "541-582-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHISHIAN",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0008241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RPH-0008241",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PRECEPTOR LICENSE",
            "identifier": "RPH-0008241-P",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hirni, DO
• Jennifer Hook
• Wayne Allen Hopper, D.M.D.
• Kali Hull, LMT
• Noah G. Jarvie, D.C.
• Dawn Kay Kirkendall
• Bryant L Kitchen, D.C.
• La Clinica del Valle Family Healthcare Center Inc.
• Laurie L Callahan, FNP, Inc
• Lotus Home Healthcare LLC

• Pharmacist in Rogue River, OR
• Providers in Rogue River, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.