Semperts Rexall Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP000293 Issued in OR

Legal business name

SEMPERTS REXALL DRUG STORE INC

Doing business as

SEMPERTS DRUG

Practice address

735 Spruce St
Myrtle Point, OR 97458-1154

Phone

(541) 572-5010

Fax

(541) 572-5507

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Larry Lenihan

Title

President

Phone

(541) 572-5010

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SEMPERTS DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle L Petersen, RPH

  • Pharmacist
  • Myrtle Point, OR
  • NPI 1063644953
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1962579540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974580605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SPRUCE ST",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974581154",
            "telephone_number": "541-572-5010",
            "fax_number": "541-572-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPERTS REXALL DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "LENIHAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-572-5010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP000293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184903",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3802952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEMPERTS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylie Marie Parrish
• Michelle L Petersen, RPH
• Alex Mario Rangel
• Sapphire at Myrtle Creek LLC
• Sapphire at Myrtle Point, LLC

• Community/Retail Pharmacy in Myrtle Point, OR
• Providers in Myrtle Point, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.