KASPRZYK ENTERPRISES INC NPI 1235374877

NPI Information

NPI: 1235374877
Provider Name: KASPRZYK ENTERPRISES INC

Doing Business As: MEDICINE SHOPPE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
289 E ELLENDALE AVE
SUITE 402
DALLAS, OR
ZIP 97338
Phone: (503) 623-5998
Get Directions

KASPRZYK ENTERPRISES INC is a long term care pharmacy pharmacy in Dallas, OR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KASPRZYK ENTERPRISES INC NPI is 1235374877. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

289 E ELLENDALE AVE
SUITE 402
DALLAS, OR
ZIP 97338-580
Phone: (503) 623-5998

The provider's authorized official is Sandra Kasprzyk .
The authorized official title is Owner and has the following contact phone number (503) 623-5998.

The enumeration date for this NPI number is 12/11/2008 and was last updated on 12/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy		OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	092639	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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