Active NPI
Rick'S Hi-School Pharmacy, Inc.
- Community/Retail Pharmacy
- Clatskanie, OR
National Provider Identifier
1811957657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036249 | Medicaid | OR | |
| 6023980 | Medicaid | WA | |
| 3810644 | Other | NCPDP |
Other names 1
- Rick's Hi-School Pharmacy #1147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100909000654 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870483852 | Practice locations: Clatskanie, OR |
National Provider Directory
National Provider DirectoryNPI 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.