RXMEDLAB PHARMACY , LLC (NPI# 1528306081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528306081 |
Entity Type | Organization |
Organization Name | RXMEDLAB PHARMACY , LLC |
Other Organization Name | RXMEDLAB PHARMACY |
Practice Address |
162 Ne Beacon Dr Suite # 109 Grants Pass OR 97526-4260 |
Practice Telephone | 5414743784 |
Mailing Telephone | 5414743784 |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |
Authorized Official Name | MR. DENNIS RAY CLARK (PHARMACIST / OWNER) |
Authorized Official Telephone | 5414743784 |
Authorized Official Credential | R.PH. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
2763 | OR | Suppliers |
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
2763 | OR | Suppliers |
Other Name | Type Code |
---|---|
RxMedLab Pharmacy | Doing Business As Name - Organization |
Street Address |
162 NE BEACON DR SUITE # 109 |
City | GRANTS PASS |
State | OR |
Zip Code | 97526-4260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760842470 | Megan Tangeman | Massage Therapist | 162 Ne Beacon Dr, Suite 120, Grants Pass, OR 97526-4260 | 2016-02-24 |
1487050951 | Rxmedications Incorporated | Pharmacy | 162 Ne Beacon Dr, Ste 109, Grants Pass, OR 97526-4260 | 2014-11-11 |
1750629267 | Dennis Ray Clark | Pharmacist | 162 Ne Beacon Dr, Suite #109, Grants Pass, OR 97526-4260 | 2013-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
Find all providers in zip 97526 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457411779 | Grants Pass Pharmacy, Inc. | Pharmacy | 414 Sw 6th St, Grants Pass, OR 97526-2810 | 2006-12-08 |
1487050951 | Rxmedications Incorporated | Pharmacy | 162 Ne Beacon Dr, Ste 109, Grants Pass, OR 97526-4260 | 2014-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
1922536606 | Pharmacy Acquisition Co., LLC | Pharmacy | 1286 Se Holgate Blvd # C-2, Portland, OR 97202-5053 | 2017-05-25 |
1023483823 | Central Oregon Pharmacy and Compounding | Pharmacy | 655 Nw Greenwood Ave Ste 1, Redmond, OR 97756-1672 | 2015-12-04 |
1124423793 | Cascade Compounding Center LLC | Pharmacy | 19550 Amber Meadow Dr, Suite 170, Bend, OR 97702-3525 | 2014-10-25 |
1841606662 | Redmond Long Term Care Pharmacy LLC | Pharmacy | 424 Nw 5th St Ste A, Redmond, OR 97756-1627 | 2014-07-02 |
1114274289 | Precision Compounds, LLC | Pharmacy | 9363 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3360 | 2012-08-08 |
1922284751 | Oregon Compounding Centers, Inc. | Pharmacy | 8560 Sw Salish Ln Ste 100, Wilsonville, OR 97070-9625 | 2008-01-10 |
1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
1356555460 | Highland Park Pharmacy LLC | Pharmacy | 424 Nw 5th St, Redmond, OR 97756 | 2007-05-09 |
1578785119 | Pacific Compounds Pharmacy LLC | Pharmacy | 327 Se 3rd Ave, Hillsboro, OR 97123-4001 | 2007-05-03 |
Find all providers with the same taxonomy |
City | GRANTS PASS |
Zip Code | 97526 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.