Individual provider Active NPI

John H Brunscheon, R.PH.

  • Pharmacist
  • Molalla, OR
National Provider Identifier
1861484552
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6151 Issued in OR
Practice address
1525 W Main St
Safeway Pharmacy #1751
Molalla, OR 97038-7362
Phone
(503) 829-4855
Fax
(503) 829-4780
NPI assigned
Aug 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6151 OR Primary

Addresses

Primary practice location

1525 W Main St
Safeway Pharmacy #1751
Molalla, OR 97038-7362

Mailing address

PO Box 1042
Mulino, OR 97042-1042
Phone (503) 631-8085

Other identifiers 2

IdentifierTypeStateIssuer
6151OtherOROR BOARD OF PHARMACY LIC
6151OtherORBOARD OF PHARMACY LICENSE

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

LicenseStateTypeSpecialty
6151ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861484552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1042",
            "city": "MULINO",
            "state": "OR",
            "postal_code": "970421042",
            "telephone_number": "503-631-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W MAIN ST",
            "address_2": "SAFEWAY PHARMACY #1751",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970387362",
            "telephone_number": "503-829-4855",
            "fax_number": "503-829-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSCHEON",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "6151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR BOARD OF PHARMACY LIC",
            "identifier": "6151",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "6151",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Molalla, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.