NPIMap

Organization Active NPI

Osu Student Health Center Pharmacy

  • Community/Retail Pharmacy
  • Corvallis, OR
National Provider Identifier
1942214747
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0000149CS Issued in OR
Legal business name
OSU STUDENT HEALTH CENTER PHARMACY
Practice address
Plageman Building Room 109
Oregon State University
Corvallis, OR 97331
Phone
(541) 737-3491
Fax
(541) 737-7616
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Jennifer Davis, PHARMD
Title
Director
Phone
(541) 737-3491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RP0000149CS OR Primary

Addresses

Primary practice location

Plageman Building Room 109
Oregon State University
Corvallis, OR 97331

Mailing address

Plageman Building Room 109
Oregon State University
Corvallis, OR 97331
Phone (541) 737-3491

Other identifiers 2

IdentifierTypeStateIssuer
2077285OtherPK
180075MedicaidOR

Other names 1

  • OSU STUDENT HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oregon St Univ Student He SRV2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1942214747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAGEMAN BUILDING ROOM 109",
            "address_2": "OREGON STATE UNIVERSITY",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97331",
            "telephone_number": "541-737-3491",
            "fax_number": "541-737-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAGEMAN BUILDING ROOM 109",
            "address_2": "OREGON STATE UNIVERSITY",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97331",
            "telephone_number": "541-737-3491",
            "fax_number": "541-737-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU STUDENT HEALTH CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-737-3491",
        "authorized_official_credential": "PHARMD"
    },
    "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": "RP0000149CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077285",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180075",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSU STUDENT HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.