Organization Active NPI

Oroville Pharmacy

  • Community/Retail Pharmacy
  • Oroville, WA
National Provider Identifier
1831288489
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00001548 Issued in WA
Legal business name
OROVILLE PHARMACY
Doing business as
OROVILLE PHARMACY
Practice address
1416 Main St
Oroville, WA 98844-9385
Phone
(509) 476-3411
Fax
(509) 476-3773
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Richard Larson, RPH
Title
Owner
Phone
(509) 476-3411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X CF00001548 WA Primary

Addresses

Primary practice location

1416 Main St
Oroville, WA 98844-9385

Mailing address

PO Box 2020
Oroville, WA 98844-2020

Other identifiers 2

IdentifierTypeStateIssuer
6058101MedicaidWA
4905456OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • OROVILLE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1831288489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "OROVILLE",
            "state": "WA",
            "postal_code": "988442020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 MAIN ST",
            "city": "OROVILLE",
            "state": "WA",
            "postal_code": "988449385",
            "telephone_number": "509-476-3411",
            "fax_number": "509-476-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-476-3411",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00001548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6058101",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4905456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OROVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oroville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.