Organization Active NPI

Diabetes Community Care Team

  • Pharmacy
  • Eugene, OR
National Provider Identifier
1942711890
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RP-0003347 Issued in OR
Legal business name
DIABETES COMMUNITY CARE TEAM
Practice address
207 E 5TH Ave Ste 223
Eugene, OR 97401-2762
Phone
(855) 211-3228
Fax
(855) 565-3626
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Julie Dewsnup, RPH, CDE, AAHIVP
Title
Executive Director
Phone
(541) 257-8553

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Voluntary or Charitable Agency 251V00000X
Community Health Clinic/Center 261QC1500X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X RP-0003347 OR Primary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

207 E 5TH Ave Ste 223
Eugene, OR 97401-2762

Mailing address

207 E 5TH Ave Ste 223
Eugene, OR 97401-2762
Phone (855) 211-3228

Other practice location 1

2101 Bailey Hill Rd Ste D
Eugene, OR 97405
Phone (855) 211-3228

National Provider Directory

National Provider Directory

Locations

207 E 5th Ave
Ste 223
Eugene, OR 97401

2101 Bailey Hill Rd
Ste D
Eugene, OR 97405
Phone (541) 484-1581

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1942711890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 5TH AVE STE 223",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012762",
            "telephone_number": "855-211-3228",
            "fax_number": "855-565-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 5TH AVE STE 223",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012762",
            "telephone_number": "855-211-3228",
            "fax_number": "855-565-3626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Bailey Hill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97405",
            "country_code": "US",
            "telephone_number": "855-211-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES COMMUNITY CARE TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "DEWSNUP",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-257-8553",
        "authorized_official_credential": "RPH, CDE, AAHIVP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP-0003347",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.