Yantis Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0000218 Issued in OR

Legal business name

YANTIS ENTERPRISES INC

Doing business as

Corner Drug

Practice address

29670 Ellensburg Ave
Gold Beach, OR 97444-8701

Phone

(541) 247-4544

Fax

(541) 247-2604

NPI assigned

Jun 8, 2006

Last updated

Mar 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Yantis

Title

Owner

Phone

(541) 247-4544

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Corner Drug Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Cavanagh, PHARMD

  • Pharmacist
  • Gold Beach, OR
  • NPI 1578113098
  NPD (past)
• Mary Lisa Refailov

  • Pharmacist
  • Gold Beach, OR
  • NPI 1164162178
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1972543734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29670 ELLENSBURG AVE",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448701",
            "telephone_number": "541-247-4544",
            "fax_number": "541-247-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29670 ELLENSBURG AVE",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974448701",
            "telephone_number": "541-247-4544",
            "fax_number": "541-247-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANTIS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "YANTIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-247-4544"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500615354",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wild Rivers Emergency Physicians LLC
• Cheryl Lynn Williams
• Reginald Gaylord Williams Jr., MD
• Kathie Jo Wills, RN
• John C. Wright, M.D.
• Madison Rose Yarno, RD
• Ati Urban Yates, MD
• Zachery Young, DMD

• Community/Retail Pharmacy in Gold Beach, OR
• Providers in Gold Beach, 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 Mar 30, 2016; 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.