Organization Active NPI

Rick'S Hi-School Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Clatskanie, OR
National Provider Identifier
1811957657
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RICK'S HI-SCHOOL PHARMACY, INC.
Practice address
401 W Columbia River Hwy
Clatskanie, OR 97016
Phone
(503) 728-2102
Fax
(503) 728-3085
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Kristi Veis
Title
VP of Pharmacy
Phone
(503) 507-6073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP0000172CS OR
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

401 W Columbia River Hwy
Clatskanie, OR 97016

Mailing address

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236

Other identifiers 3

IdentifierTypeStateIssuer
036249MedicaidOR
6023980MedicaidWA
3810644OtherNCPDP

Other names 1

  • Rick's Hi-School Pharmacy #1147 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100909000654 OR Part B Supplier - Mass Immunization (Roster Biller Only) 3870483852 Practice locations: Clatskanie, OR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1811957657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W COLUMBIA RIVER HWY",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "97016",
            "telephone_number": "503-728-2102",
            "fax_number": "503-728-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK'S HI-SCHOOL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "VEIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "503-507-6073"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0000172CS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036249",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6023980",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3810644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rick's Hi-School Pharmacy #1147",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rick's Hi-School Pharmacy #1147",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clatskanie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.