Organization Active NPI

Home Town Drugs of Roseburg Inc

  • Long Term Care Pharmacy
  • Roseburg, OR
National Provider Identifier
1881106961
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Dec 20, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3842831OtherORNCPDP
274394MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.