Organization Active NPI

Wmso LLC

  • Pharmacy
  • Hillsboro, OR
National Provider Identifier
1962461350
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RP0001029CS Issued in OR
Legal business name
WMSO LLC
Practice address
661 SE Baseline St
Hillsboro, OR 97123-4115
Phone
(503) 681-0735
Fax
(503) 693-0655
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Mr. Winfield F Muffett III, RPH
Title
Owner
Phone
(360) 693-5879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP0001029CS OR Primary

Addresses

Primary practice location

661 SE Baseline St
Hillsboro, OR 97123-4115

Mailing address

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236

Other identifiers 2

IdentifierTypeStateIssuer
278207MedicaidOR
3809437OtherNCPDP

Other names 1

  • Hank's Pharmacy # 1141 Doing business as

National Provider Directory

National Provider Directory

Locations

661 SE Baseline St
Hillsboro, OR 97123
Phone (503) 681-0735

661 SE Baseline St
#1141
Hillsboro, OR 97123
Phone (503) 681-0735

39 S Holladay Dr
#1139
Seaside, OR 97138
Phone (503) 738-5362

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1962461350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 SE BASELINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234115",
            "telephone_number": "503-681-0735",
            "fax_number": "503-693-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "MUFFETT",
        "authorized_official_first_name": "WINFIELD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-693-5879",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0001029CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278207",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3809437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hank's Pharmacy # 1141",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.