Organization Active NPI

Umpqua Drug Co. Inc

  • Pharmacist
  • Reedsport, OR
National Provider Identifier
1962624262
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00480 Issued in OR
Legal business name
UMPQUA DRUG CO. INC
Practice address
1941 Winchester Ave
Reedsport, OR 97467
Phone
(541) 271-2139
Fax
(541) 271-0228
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. Loren Dean Warner, R.PH
Title
Owner
Phone
(541) 271-2139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 00480 OR Primary

Addresses

Primary practice location

1941 Winchester Ave
Reedsport, OR 97467

Mailing address

1941 Winchester Ave
Reedsport, OR 97467
Phone (541) 271-2139

Other identifiers 1

IdentifierTypeStateIssuer
291260MedicaidOR

National Provider Directory

National Provider Directory

Locations

1941 Winchester Ave
Reedsport, OR 97467
Phone (541) 271-2139

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1962624262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 WINCHESTER AVE",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "97467",
            "telephone_number": "541-271-2139",
            "fax_number": "541-271-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 WINCHESTER AVE",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "97467",
            "telephone_number": "541-271-2139",
            "fax_number": "541-271-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA DRUG CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-271-2139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "00480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291260",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.