Grants Pass Pharmacy, Inc.

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

0001164 Issued in OR

Legal business name

GRANTS PASS PHARMACY, INC.

Doing business as

Grants Pass Pharmacy

Practice address

414 SW 6TH St.
Grants Pass, OR 97526-2810

Phone

(541) 476-4262

Fax

(541) 474-1443

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Michele M Belcher, RPH

Title

VP of Operations

Phone

(541) 476-4262

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Grants Pass Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1861773798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SW 6TH ST.",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262810",
            "telephone_number": "541-476-4262",
            "fax_number": "541-474-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SW 6TH ST.",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262810",
            "telephone_number": "541-476-4262",
            "fax_number": "541-474-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTS PASS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "541-476-4262",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OR",
            "license": "0001164",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OR",
            "license": "0001164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076356",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL DRUG OUTLET WITH CONTROLLED SUBSTANCE REGISTRATON",
            "identifier": "IP-0001164-CS",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grants Pass Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Institutional Pharmacy in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Institutional Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.