MEDICAL PARK PHARMACY NPI 1699786665

NPI Information

  • NPI: 1699786665
  • Provider Name: MEDICAL PARK PHARMACY
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Former Legal Business Name: MEDICAL PARK UNITED DRUG
  • Address: 1813 W HARVARD AVE
    SUITE 210
    ROSEBURG, OR
    ZIP 97470
  • Phone: (541) 672-1800

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NPI Details

MEDICAL PARK PHARMACY is a durable medical equipment medical supplies in Roseburg, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDICAL PARK PHARMACY NPI is 1699786665. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Medical Park United Drug.

The provider's business location address is:

1813 W HARVARD AVE
SUITE 210
ROSEBURG, OR
ZIP 97470-752
Phone: (541) 672-1800
Fax: (541) 672-5413

The provider's authorized official is John S Svendsen .
The authorized official title is Owner/pharmacist and has the following contact phone number (541) 672-1800.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 3/7/2023.

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
1332B00000XDurable Medical Equipment & Medical SuppliesRP-0000490-CSOREGONYes

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
1293106MEDICAIDOREGON
23804437OTHERNCPDP (NABP)

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: 3/30/2025

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