Active NPI
Dwane Lyle Hanson, RPH
- Pharmacist
- Albany, OR
National Provider Identifier
1932498557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6611
- Practice address
- 1235 Waverly Dr SE
Albany, OR 97322-6944 - Phone
- (541) 928-8668
- NPI assigned
- Apr 5, 2011
- Last updated
- Apr 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6611 | OR | Primary |
| Pharmacist | 183500000X | PH60060820 | WA | |
| Pharmacist | 183500000X | S017817 | AZ | |
| Pharmacist | 183500000X | 24695 | TX |
Addresses
Primary practice location
1235 Waverly Dr SE
Albany, OR 97322-6944
Mailing address
PO Box 61402
1704 Davis Ave
Vancouver, WA 98666-1402
Phone (503) 516-9946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S017817 | AZ | MD | Pharmacist |
| 6611 | OR | MD | Pharmacist |
| PH60060820 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1932498557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61402",
"address_2": "1704 DAVIS AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986661402",
"telephone_number": "503-516-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 WAVERLY DR SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226944",
"telephone_number": "541-928-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "DWANE",
"middle_name": "LYLE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "6611",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60060820",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017817",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24695",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.