NPIMap

Organization Active NPI

Ontario Pharmacy Inc

  • Pharmacist
  • Ontario, OR
National Provider Identifier
1952395733
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP-0002220-CS Issued in OR
Legal business name
ONTARIO PHARMACY INC
Practice address
555 SW 4TH Ave
Ontario, OR 97914-2643
Phone
(541) 889-2775
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Robert Wheatley, RPH
Title
Owner/Pharmacist
Phone
(541) 889-8174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RP-0002220-CS OR Primary

Addresses

Primary practice location

555 SW 4TH Ave
Ontario, OR 97914-2643

Mailing address

555 SW 4TH Ave
Ontario, OR 97914-2643
Phone (541) 889-2775

Other identifiers 2

IdentifierTypeStateIssuer
3842019OtherNABP#
8071295000MedicaidID

Other names 1

  • dba APPLETREE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ontario Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

555 SW 4th Ave
Ontario, OR 97914
Phone (541) 889-2775

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952395733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142643",
            "telephone_number": "541-889-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142643",
            "telephone_number": "541-889-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "541-889-8174",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RP-0002220-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3842019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8071295000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba APPLETREE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.