ROGUE VALLEY MANOR PHARMACY
NPI 1265572150
Pharmacy - Community/Retail Pharmacy in Medford, OR
About Rogue Valley Manor Pharmacy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGUE VALLEY MANOR PHARMACY (NPI 1265572150) is a healthcare organization registered as a community/retail pharmacy in Medford, Oregon and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Fred Millan, Director Of Pharmacy, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2075934
Rogue Valley Manor Snf · Medford, ORCertificate of Waiver 38D2257328
Rogue Valley Manor Memory Support Center · Medford, OROther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rogue Valley Manor's NPI number?
The NPI number for Rogue Valley Manor is 1265572150. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Rogue Valley Manor Pharmacy.
Where is Rogue Valley Manor located?
Rogue Valley Manor is located at 1250 Mira Mar Ave, Medford, OR 97504. The listed phone number is (541) 857-7361.
What is Rogue Valley Manor's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.
Does Rogue Valley Manor hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Rogue Valley Manor accept?
Health plans from Medica list Rogue Valley Manor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rogue Valley Manor was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Rogue Valley Manor Pharmacy · NPI 1265572150
Community/Retail Pharmacy organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1265572150 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Pharmacy - Community/Retail Pharmacy · taxonomy 3336C0003X
- **Legal business name:** Rogue Valley Manor
- **Organization subpart:** No
- **Authorized official:** Fred Millan, DIRECTOR OF PHARMACY
## Practice location
- **Address:** 1250 MIRA MAR AVE, Medford, OR 97504-5520
- **Phone:** (541) 857-7361 · **Fax:** (541) 857-7362
## Record status
- **NPPES last updated:** April 11, 2016
- **Other identifiers:** Other 2078260; Medicaid 385250 (OR)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265572150) · Data from the CMS NPPES public registry.