Individual provider Active NPI

Daniel Holland Lindstrom, PHARM D.

  • Pharmacist
  • White City, OR
National Provider Identifier
1871927319
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0013792 Issued in OR
Practice address
7591 Crater Lake Hwy
Suite a
White City, OR 97503-1663
Phone
(541) 826-4414
Fax
(541) 416-8366
NPI assigned
Sep 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S019953 AZ
Pharmacist 183500000X 0013792 OR Primary

Addresses

Primary practice location

7591 Crater Lake Hwy
Suite a
White City, OR 97503-1663

Mailing address

7591 Crater Lake Hwy
Suite a
White City, OR 97503-1663
Phone (541) 826-4414

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S019953AZMDPharmacist
0013792ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue RX 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1871927319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 CRATER LAKE HWY",
            "address_2": "SUITE A",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031663",
            "telephone_number": "541-826-4414",
            "fax_number": "541-416-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 CRATER LAKE HWY",
            "address_2": "SUITE A",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031663",
            "telephone_number": "541-826-4414",
            "fax_number": "541-416-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "DANIEL",
        "middle_name": "HOLLAND",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-01",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019953",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0013792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.