Active NPI
Curtis Pharmacy Inc.
- Pharmacy
- Harrisburg, OR
National Provider Identifier
1902073471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RP-0001804-CS
- Legal business name
- CURTIS PHARMACY INC.
- Practice address
- 230 N. 3Rd St.
Suite 106
Harrisburg, OR 97446 - Phone
- (541) 995-9711
- Fax
- (541) 995-9226
- NPI assigned
- May 13, 2008
- Last updated
- Apr 4, 2018
- 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
- Robert W. Curtis, RPH
- Title
- Owner/Pharmacist
- Phone
- (541) 995-9711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 001804 | OR | |
| Pharmacy | 333600000X | RP-0001804-CS | OR | Primary |
Addresses
Primary practice location
230 N. 3Rd St.
Suite 106
Harrisburg, OR 97446
Mailing address
230 N. 3Rd St.
Suite 106
Harrisburg, OR 97446
Phone (541) 995-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500738588 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180521000639 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870858996 | Practice locations: Harrisburg, OR |
National Provider Directory
National Provider DirectoryLocations
230 N 3rd St
Ste 106
Harrisburg, OR 97446
Phone (541) 995-9711
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Harrisburg, OR
- NPI 1710210935
-
- Pharmacist
- Harrisburg, OR
- NPI 1255053062
-
- Pharmacist
- Harrisburg, OR
- NPI 1023168655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522800000000",
"number": "1902073471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N. 3RD ST.",
"address_2": "SUITE 106",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "97446",
"telephone_number": "541-995-9711",
"fax_number": "541-995-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N. 3RD ST.",
"address_2": "SUITE 106",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "97446",
"telephone_number": "541-995-9711",
"fax_number": "541-995-9226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURTIS PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-13",
"last_updated": "2018-04-04",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "541-995-9711",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OR",
"license": "001804",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OR",
"license": "RP-0001804-CS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500738588",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.