Ashley Sandoval, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0018702 Issued in OR

Practice address

51600 Huntington Rd Ste a
La Pine, OR 97739-8887

Phone

(541) 536-1111

Fax

(541) 536-1980

NPI assigned

Mar 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Drug Mart Pharmacy Inc

  • Community/Retail Pharmacy
  • La Pine, OR
  • NPI 1366507782
  NPD

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1972251619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977390159",
            "telephone_number": "541-536-1111",
            "fax_number": "541-536-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD STE A",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-1111",
            "fax_number": "541-536-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ASHLEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0018702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie House Assisted Living
• Dustyn Ryan Putzier, LMSW
• Rebound Physical Therapy II, LLC
• Alisha Reeves
• Hayley Roark
• Briana Schulte, LPC
• Conrad Max Schulte, DMD
• Jennifer Ann Slater, LMT
• Martin Lindsey Smart, MD
• Amy Smith Gruebert, LMT

• Pharmacist in La Pine, OR
• Providers in La Pine, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.