Active NPI
Wmso LLC
- Pharmacy
- Hillsboro, OR
National Provider Identifier
1962461350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RP0001029CS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278207 | Medicaid | OR | |
| 3809437 | Other | NCPDP |
Other names 1
- Hank's Pharmacy # 1141
National Provider Directory
National Provider DirectoryLocations
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.