Active NPI
Ervins Development Inc
Doing business as Brownsville Pharmacy
- Community/Retail Pharmacy
- Brownsville, OR
National Provider Identifier
1871660357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP0000140
- Legal business name
- ERVINS DEVELOPMENT INC
- Doing business as
- Brownsville Pharmacy
- Practice address
- 411 N Main St
Brownsville, OR 97327-2147 - Phone
- (541) 466-5112
- Fax
- (541) 466-5756
- NPI assigned
- Nov 29, 2006
- Last updated
- Dec 20, 2025
- 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
- Jeffrey Shane Harrell, PHARMD
- Title
- Owner
- Phone
- (360) 859-8659
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | RP0000140 | OR | Primary |
Addresses
Primary practice location
411 N Main St
Brownsville, OR 97327-2147
Mailing address
PO Box B
Ilwaco, WA 98624-0167
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077268 | Other | PK | |
| 229450 | Medicaid | OR | |
| 269176 | Medicaid | OR |
Other names 1
- BROWNSVILLE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071002000742 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416042650 | Practice locations: Brownsville, OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Brownsville, OR
- NPI 1689096737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766188800000",
"number": "1871660357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX B",
"city": "ILWACO",
"state": "WA",
"postal_code": "986240167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N MAIN ST",
"city": "BROWNSVILLE",
"state": "OR",
"postal_code": "973272147",
"telephone_number": "541-466-5112",
"fax_number": "541-466-5756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERVINS DEVELOPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A",
"authorized_official_last_name": "HARRELL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "SHANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-859-8659",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "RP0000140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2077268",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "229450",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269176",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BROWNSVILLE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brownsville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.