Emerald Valley RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EMERALD VALLEY RX, LLC

Practice address

176 Melton Rd
Creswell, OR 97426-9453

Phone

(541) 359-3334

Fax

(833) 384-2630

NPI assigned

May 14, 2022

Last updated

May 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassandra StuckeyNPI 1407133317

Title

Owner

Phone

(541) 359-3334

Specialties & licenses 1

Addresses

Tax ID family

Emerald Valley RX LLC2 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.

• Emerald Valley RX, LLC

  • Community/Retail Pharmacy
  • Creswell, OR
  • NPI 1932854163
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassandra Stuckey

  • Pharmacist
  • Cottage Grove, OR
  • NPI 1407133317
  NPD Authorized official

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1962149674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MELTON RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269453",
            "telephone_number": "541-359-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MELTON RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269453",
            "telephone_number": "541-359-3334",
            "fax_number": "833-384-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD VALLEY RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-359-3334"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creswell Wellness Center
• Ashley Delu
• Robin Jay Edwards, CST/CFA
• Emerald Valley Physical Therapy, P.C. (Drain Physical Therapy)
• Emerald Valley RX, LLC
• Emerald Wellness, P.C. (Emerald Valley Wellness Clinic)
• Eyeland Family Optical LLC
• Modesto King Andrew Esguerra Formilleza V, OTR
• Patrick E Freuen, RPH
• Rhonda Garcia Mondragon

• Long Term Care Pharmacy in Creswell, OR
• Providers in Creswell, OR by specialty
• Long Term Care Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.