KASPRZYK ENTERPRISES, INC. (NPI# 1457396731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457396731 |
| Entity Type | Organization |
| Organization Name | KASPRZYK ENTERPRISES, INC. |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
289 E Ellendale Ave Suite 402 Dallas OR 97338-1580 |
| Practice Telephone | 5036235998 |
| Practice Fax Number | 5036231173 |
| Mailing Telephone | 5036235998 |
| Mailing Fax Number | 5036231173 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | MRS. SANDRA KASPRZYK (PHARMACIST) |
| Authorized Official Telephone | 5036235998 |
| Authorized Official Credential | RHH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP-0001132-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEA # | BK3940029 | 01 |
| OR | 020565 | 05 | |
| OR | NCPDP | 3810416 | 01 |
| Other Name | Type Code |
|---|---|
| Medicine Shoppe | Doing Business As Name - Organization |
| Street Address |
289 E ELLENDALE AVE SUITE 402 |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175935 | Benjamin James | Dentist | 289 E Ellendale Ave, Ste. 204, Dallas, OR 97338-1580 | 2016-06-13 |
| 1780006361 | Constance Jo Ervin | Massage Therapist | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1580 | 2014-01-15 |
| 1811237951 | Deborah R Saxby | Clinic/Center | 289 E Ellendale Ave, Ste 202, Dallas, OR 97338-1580 | 2013-02-27 |
| 1013268762 | Ann Janelle Holland | Massage Therapist | 289 E Ellendale Ave, Suite 601, Dallas, OR 97338-1580 | 2012-09-20 |
| 1063769214 | Charles E Holton, Jr Dc Inc | Chiropractor | 289 E Ellendale Ave, Ste 102, Dallas, OR 97338-1580 | 2012-08-07 |
| 1588910319 | Darrington Physical Therapy LLC | Physical Therapist | 289 E Ellendale Ave, Suite 101, Dallas, OR 97338-1580 | 2012-07-30 |
| 1518231638 | Gina Squires | Massage Therapist | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1580 | 2012-03-07 |
| 1417226846 | Lyndsay Marie Posey | Acupuncturist | 289 E Ellendale Ave, Suite 601, Dallas, OR 97338-1580 | 2011-12-13 |
| 1043593320 | Deborah Ruth Saxby | Specialist | 289 E Ellendale Ave, Suite 202, Dallas, OR 97338-1580 | 2011-09-23 |
| 1235374877 | Kasprzyk Enterprises Inc | Pharmacy | 289 E Ellendale Ave, Suite 402, Dallas, OR 97338-1580 | 2008-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| 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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|---|---|---|---|---|
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| 1841824133 | Rite Quality Health Inc | Pharmacy | 18900 Dallas Pkwy Ste 106, Dallas, TX 75287-6916 | 2020-02-26 |
| 1740810852 | Chc Care Specialty Pharmacy and Consultants LLC | Pharmacy | 14211 Coit Rd Ste 1, Dallas, TX 75254-2862 | 2020-01-17 |
| 1770127821 | Methodist Community Pharmacy, LLC | Pharmacy | 3500 W Wheatland Rd Ste B, Dallas, TX 75237-3460 | 2019-11-01 |
| 1144874967 | Capsule Dallas LLC | Pharmacy | 2909 Mckinney Ave Ste A, Dallas, TX 75204-7479 | 2019-07-30 |
| 1346800604 | Cvs Pharmacy Inc. | Pharmacy | 7979 Belt Line Rd, Dallas, TX 75254-8129 | 2019-06-19 |
| 1073087375 | Medical City Pharmacy LLC | Pharmacy | 3502 Simpson Stuart Rd Ste 300, Dallas, TX 75241-4420 | 2019-01-20 |
| 1538633326 | Methodist Community Pharmacy, LLC | Pharmacy | 1441 N Beckley Ave Lbby B, Dallas, TX 75203-1201 | 2019-01-15 |
| 1700358389 | Titan Specialty Pharmacy | Pharmacy | 8360 Lbj Fwy Ste 215, Dallas, TX 75243-1222 | 2018-12-20 |
| 1932676301 | Nugenerex Ptx1 | Pharmacy | 2301 S Hampton Rd Ste 850, Dallas, TX 75224-1618 | 2018-10-24 |
| Find all providers in DALLAS | ||||
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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.