Shindler'S Drugstore Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00131 Issued in OR

Legal business name

SHINDLER'S DRUGSTORE INC.

Practice address

215 10TH St S.E.
Bandon, OR 97411-0069

Phone

(541) 347-3707

Fax

(541) 347-3158

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Ryce Wilson, RPH

Title

President

Phone

(541) 347-3707

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shindler's Health Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871644799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "address_2": "215 10TH ST S.E.",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974110069",
            "telephone_number": "541-347-3707",
            "fax_number": "541-347-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 10TH ST S.E.",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974110069",
            "telephone_number": "541-347-3707",
            "fax_number": "541-347-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINDLER'S DRUGSTORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-347-3707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "00131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3800960",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182956",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shindler's Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynden Scahill, OTR/L
• Merri Lynne Seegrist, LCSW
• Mariarose M Shanahe, LCSW
• Sharon C Strong DMD PC
• Ariel Jui-Yu Shih, PHARMD, RPH
• Jessica Ann Shrock, FNP--C
• Zakary G Shrock, LPC
• Paul Edward Smith, PT, DPT
• Venus Crystal Smith, D.C
• Southern Coos Health District

• Community/Retail Pharmacy in Bandon, OR
• Providers in Bandon, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.