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MARY LISA REFAILOV
NPI 1164162178
Pharmacist in Gold Beach, OR

Active since March 29, 2022
29670 ELLENSBURG AVE, GOLD BEACH, OR 97444(541) 247-4544(541) 247-2604 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Lisa Refailov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LISA REFAILOV (NPI 1164162178) is an individual pharmacist in Gold Beach, Oregon, licensed in Oregon (RPH-0017368) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1164162178
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARY LISA REFAILOV
Location Address29670 ELLENSBURG AVEGold Beach, OR 97444-8701
Mailing Address29670 Ellensburg AveGold Beach, OR 97444-8701 · (541) 247-4544 · Fax (541) 247-2604
Phone(541) 247-4544
Fax(541) 247-2604
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1164162178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in OR · RPH-0017368
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
29670 ELLENSBURG AVE, Gold Beach, OR 97444
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD CAVANAGH PHARMD
Pharmacist
29670 ELLENSBURG AVE
GOLD BEACH, OR 97444
Curry County (541) 247-4544
MAHANT LLC
Pharmacy (Community/Retail Pharmacy)
29670 ELLENSBURG AVE
GOLD BEACH, OR 97444
Curry County (541) 247-4544
YANTIS ENTERPRISES INC
Pharmacy (Community/Retail Pharmacy)
29670 ELLENSBURG AVE
GOLD BEACH, OR 97444
Curry County (541) 247-4544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lisa Refailov's NPI number?

The NPI number for Mary Lisa Refailov is 1164162178. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Mary Lisa Refailov located?

Mary Lisa Refailov practices at 29670 Ellensburg Ave, Gold Beach, OR 97444. The listed phone number is (541) 247-4544.

What is Mary Lisa Refailov's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mary Lisa Refailov was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.