Nelsons City Drug Inc
Organization Active NPI Community/Retail Pharmacy · John Day, OR
NPI 1891737367 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1891737367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- RP-0000247-CS (OR)
- Legal business name
- NELSONS CITY DRUG INC
- Practice address
- 120 E Main St
John Day, OR 97845-1211 - Phone
- (541) 575-0629
- Fax
- (541) 575-2342
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Gregory Armstrong, RPH
- Title
- Owner Pharmacist
- Phone
- (541) 575-0629
Practitioners 5
-
James Edward Calhoon, RPH
-
Shawna A Clark, DNP, FNP
-
Tilli Obrina Slusarenko, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2227735 | Nelson City Drug Dba Len'S Pharmacy | Certificate of waiver | Jun 15, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lens Drug |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings|Diabetic Shoes a… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930062179 | OR | DME Supplier - Pharmacy |
1052421187 | Practice locations: John Day, OR |
| O20110316000624 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 1052421187 | Practice locations: John Day, OR |
National Provider Directory
Locations
120 E Main St
John Day, OR 97845
Phone (541) 362-9988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | RP-0000247-CS | OR | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
120 E Main St
John Day, OR 97845-1211
Mailing address
120 E Main St
John Day, OR 97845-1211
Phone (541) 575-0629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037259 | Medicaid | OR | |
| 2077622 | Other | PK | |
| 269381 | Medicaid | OR |
Other names
- Len's Pharmacy
Other providers in John Day, OR
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- Michael B Desjardin Dentisty, P.C.
- Jacki Lynn Miller
- Benjamin Alan Moore
- My Hearing Centers, LLC
- Nicole Nira
- Bennette Edward Norton III
- Christopher Olwine
- Charles Osgood
- Elizabeth Christine Pace
All providers in John Day, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.