SUTHERLIN DRUG
NPI 1790729077
Pharmacist in Sutherlin, OR

NPI Status: Active since June 16, 2006

Contact Information

113 E CENTRAL AVE
SUTHERLIN, OR
ZIP 97479
Phone: (541) 459-2712
Fax: (541) 459-9129

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pharmacist

About SUTHERLIN DRUG

This page provides the complete NPI Profile along with additional information for Sutherlin Drug, a provider established in Sutherlin, Oregon operating as a Pharmacist. The healthcare provider is registered in the NPI registry with number 1790729077 assigned on June 2006. The practitioner's primary taxonomy code is 183500000X with license number RPH-7673 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Sutherlin Drug. The authorized official of this NPI record is Mr. Ian L Black B.s., R.ph. (President)

NPI: 1790729077
Provider Legal Name: J & I BLACK, INC.
Other Organization Name: SUTHERLIN DRUG
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 113 E CENTRAL AVE SUTHERLIN, OR 97479
Location Phone: (541) 459-2712
Location Fax: (541) 459-9129
Mailing Address: PO BOX 309 SUTHERLIN, OR 97479
Mailing Phone: (541) 459-2712
Mailing Fax: (541) 459-9129
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-16-2006
Last Update Date: 08-22-2020
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A pharmacist like Sutherlin Drug fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pharmacist
Taxonomy Code: 183500000X
Type: Pharmacy Service Providers
License No.: RPH-7673
License State: OR
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. IAN L BLACK B.S., R.PH.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (541) 459-2712

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
3811557	OTHER (01)	OR	NCPDP #
126404	MEDICAID (05)	OR

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	9	0	7	2	9	0	7	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	18	0	14	2	18	0	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 2 + 1 + 8 + 0 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1790729077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.