SEMPERTS REXALL DRUG STORE INC (NPI# 1962579540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962579540 |
| Entity Type | Organization |
| Organization Name | SEMPERTS REXALL DRUG STORE INC |
| Other Organization Name | SEMPERTS DRUG |
| Practice Address |
735 Spruce St Myrtle Point OR 97458-1154 |
| Mailing Address |
Po Box 605 Myrtle Point OR 97458-0605 |
| Practice Telephone | 5415725010 |
| Practice Fax Number | 5415725507 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-07-05 |
| Authorized Official Name | LARRY LENIHAN (PRESIDENT) |
| Authorized Official Telephone | 5415725010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP000293 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3802952 | 01 | |
| OR | 184903 | 05 |
| Other Name | Type Code |
|---|---|
| SEMPERTS DRUG | Doing Business As Name - Organization |
| Street Address |
735 SPRUCE ST |
| City | MYRTLE POINT |
| State | OR |
| Zip Code | 97458-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063644953 | Michelle L Petersen | Pharmacist | 735 Spruce St, Myrtle Point, OR 97458-1154 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487748075 | County of Coos Myrtle Point School District 41 | Local Education Agency (LEA) | 413 C. Street, Myrtle Point, OR 97458 | 2006-10-03 |
| 1720407786 | Ana Marie Ferguson | Nurse Practitioner | 324 4th St, Myrtle Point, OR 97458 | 2014-04-07 |
| 1275542524 | City of Myrtle Point | Ambulance | 320 5th Street, Myrtle Point, OR 97458-1039 | 2006-08-05 |
| 1912135690 | David Yim Lee | Family Medicine | 324 4th St, Myrtle Point, OR 97458-1066 | 2009-07-01 |
| 1316921133 | John Calvin Counts | Family Medicine | 324 4th Street, Myrtle Point, OR 97458-1066 | 2005-12-05 |
| 1568918563 | Gabriela Anna Lombardi | Nurse Practitioner | 324 4th St, Myrtle Point, OR 97458-1066 | 2016-08-30 |
| 1083955199 | Allison Ehrlich | Physician Assistant | 324 4th St, Myrtle Point, OR 97458-1066 | 2013-03-14 |
| 1689915753 | Jordan Ehrlich | Physician Assistant | 324 4th St, Myrtle Point, OR 97458-1066 | 2013-03-13 |
| 1154626679 | Kaylie Marie Parrish | Physician Assistant | 324 4th St, Myrtle Point, OR 97458-1066 | 2011-01-13 |
| 1952385684 | Edmund Reed Gurney Jr. | Family Medicine | 324 4th Street, Myrtle Point, OR 97458-1066 | 2005-12-06 |
| Find all providers in zip 97458 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
| 1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
| 1467090183 | Mosaic Medical | Pharmacy | 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 | 2019-12-12 |
| 1598302119 | Beacon Health Care Solutions Incorporated | Pharmacy | 2790 Broadway Ave, North Bend, OR 97459-2216 | 2019-12-02 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE POINT |
| Zip Code | 97458 |
Please comment or provide details below to improve the information on SEMPERTS REXALL DRUG STORE INC.
| 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.