Active NPI
Gwendolyn Beatrice Springer, RPH
- Pharmacist
- Ontario, OR
National Provider Identifier
1790940930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0009526
- Practice address
- 2283 SW 4TH Ave
Ontario, OR 97914-1849 - Phone
- (541) 889-2188
- Fax
- (541) 889-2658
- NPI assigned
- Jul 28, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 0009526 | OR | Primary |
Addresses
Primary practice location
2283 SW 4TH Ave
Ontario, OR 97914-1849
Mailing address
2283 SW 4TH Ave
Ontario, OR 97914-1849
Phone (541) 889-2188
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009526 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1790940930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2283 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141849",
"telephone_number": "541-889-2188",
"fax_number": "541-889-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2283 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141849",
"telephone_number": "541-889-2188",
"fax_number": "541-889-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "GWENDOLYN",
"middle_name": "BEATRICE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0009526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.