Active NPI
Home Town Drugs of Roseburg Inc
- Long Term Care Pharmacy
- Roseburg, OR
National Provider Identifier
1881106961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- HOME TOWN DRUGS OF ROSEBURG INC
- Practice address
- 1813 W Harvard Ave Ste 210
Roseburg, OR 97471-2709 - Phone
- (541) 229-1112
- Fax
- (541) 464-4530
- NPI assigned
- Oct 30, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1813 W Harvard Ave Ste 210
Roseburg, OR 97471-2709
Mailing address
1813 W Harvard Ave Ste 210
Roseburg, OR 97471-2709
Phone (541) 229-1112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3842831 | Other | OR | NCPDP |
| 274394 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
1813 W Harvard Ave
Ste 210
Roseburg, OR 97471
Phone (541) 229-1112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Winston, OR
- NPI 1497110605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766188800000",
"number": "1881106961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE STE 210",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712709",
"telephone_number": "541-229-1112",
"fax_number": "541-464-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE STE 210",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712709",
"telephone_number": "541-229-1112",
"fax_number": "541-464-4530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME TOWN DRUGS OF ROSEBURG INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-30",
"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": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3842831",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274394",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.