Mahant LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-218 Issued in OR

Legal business name

MAHANT LLC

Doing business as

corner drug

Practice address

29670 Ellensburg Ave
Gold Beach, OR 97444-8701

Phone

(541) 247-4544

Fax

(541) 247-2604

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Trushar PatelNPI 1457764581

Title

Pharmacist

Phone

(503) 752-4459

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• corner drug Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trushar Patel

  • Pharmacist
  • Salem, OR
  • NPI 1457764581
  NPD Authorized official
• Gerald Cavanagh, PHARMD

  • Pharmacist
  • Gold Beach, OR
  • NPI 1578113098
  NPD (past)
• Mary Lisa Refailov

  • Pharmacist
  • Gold Beach, OR
  • NPI 1164162178
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1942711353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29670 ELLENSBURG AVE",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448701",
            "telephone_number": "541-247-4544",
            "fax_number": "541-247-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29670 ELLENSBURG AVE",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448701",
            "telephone_number": "541-247-4544",
            "fax_number": "541-247-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-09-19",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRUSHAR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-752-4459"
    },
    "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": "RP-218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2172045",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500739552",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "corner drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "corner drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darcee Landes
• Stephanie Ann Laudert, MD
• Frankie Lemmons, LMHC, LPC
• Herman G. T. Liem, D. D. S.
• Maciey J Druzdzel MD PC
• Bob Manners, DC
• William Marshall
• Jennifer Martino
• Kely McConnell Regan
• Shilo Marie McKenzie, CNMNP

• Community/Retail Pharmacy in Gold Beach, OR
• Providers in Gold Beach, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.