Organization Active NPI

Parko Inc

  • Durable Medical Equipment & Medical Supplies
  • McMinnville, OR
National Provider Identifier
1962411900
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PARKO INC
Doing business as
MAC MEDICAL SHOP
Practice address
228 NE 3Rd St
McMinnville, OR 97128-4819
Phone
(503) 472-2147
Fax
(503) 437-9206
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mrs. Nicole Patrice Winnen, R.PH.
Title
President
Phone
(503) 472-2147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

228 NE 3Rd St
McMinnville, OR 97128-4819

Mailing address

228 NE 3Rd St
McMinnville, OR 97128-4819
Phone (503) 472-2147

Other identifiers 1

IdentifierTypeStateIssuer
269216MedicaidOR

Other names 1

  • MAC MEDICAL SHOP Doing business as

National Provider Directory

National Provider Directory

Locations

228 NE 3rd St
McMinnville, OR 97128
Phone (503) 472-2147

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1962411900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 NE 3RD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284819",
            "telephone_number": "503-472-2147",
            "fax_number": "503-437-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 NE 3RD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284819",
            "telephone_number": "503-472-2147",
            "fax_number": "503-437-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "WINNEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-472-2147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269216",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAC MEDICAL SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.