Organization Active NPI

Red Cross United Drug Inc

  • Community/Retail Pharmacy
  • La Grande, OR
National Provider Identifier
1881706893
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0000277 Issued in OR
Legal business name
RED CROSS UNITED DRUG INC
Practice address
1123 Adams Ave
La Grande, OR 97850-2692
Phone
(541) 963-5741
Fax
(541) 963-6332
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Leah Marie Coulter
Title
Pharmacy Manager
Phone
(541) 963-5741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RP0000277 OR Primary

Addresses

Primary practice location

1123 Adams Ave
La Grande, OR 97850-2692

Mailing address

1123 Adams Ave
La Grande, OR 97850-2692
Phone (541) 963-5741

Other identifiers 2

IdentifierTypeStateIssuer
283713MedicaidOR
2077885OtherPK

Other names 1

  • RED CROSS DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091005000426 OR Part B Supplier - Pharmacy 1557407517 Practice locations: La Grande, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1123 Adams Ave
La Grande, OR 97850
Phone (541) 963-5741

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1881706893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 ADAMS AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502692",
            "telephone_number": "541-963-5741",
            "fax_number": "541-963-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 ADAMS AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502692",
            "telephone_number": "541-963-5741",
            "fax_number": "541-963-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CROSS UNITED DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "541-963-5741"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283713",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED CROSS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RED CROSS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.

Verify at the official NPI Registry.