Dahisse Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DAHISSE INC

Practice address

821 S Main St
Myrtle Creek, OR 97457-9334

Phone

(541) 391-8321

Fax

(541) 391-8381

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey Shane Harrell, PHARMD

Title

Owner

Phone

(360) 859-8659

Specialties & licenses 2

Addresses

Other names 1

• Myrtle Drugs 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

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1972265411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974579334",
            "telephone_number": "541-391-8321",
            "fax_number": "541-391-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974579334",
            "telephone_number": "541-391-8321",
            "fax_number": "541-391-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHISSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-859-8659",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtle Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Myrtle Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centennial Medical Group East, LLC
• Samantha Christensen, RN
• Augustine F Colebrook, CPM, LM
• Rachel Michelle Crawford
• Dahisse Inc
• Tyler Dearing, PHARM.D
• Oswald John Fett
• Mindy Frye
• Lynn E Goodwin, OD
• Vilca Fauiki Havili, PA-C

• Community/Retail Pharmacy in Myrtle Creek, OR
• Providers in Myrtle Creek, 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 Dec 20, 2025; 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.