Mr Coleman Gayheart Jr, PHARMACIST is a
Pharmacist - Ambulatory Care based in Terrebonne, Oregon. Mr Coleman Gayheart Jr is licensed to practice in Oregon (license number 8739) and his current practice location is
12981 Sw Upper Ridge Rd, Terrebonne, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 306-0655.
NPI number for Mr Coleman Gayheart Jr is 1457881468 and his current mailing address is 12981 Sw Upper Ridge Rd, Terrebonne, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457881468.
Healthcare Provider's Profile
Full Name | Mr Coleman Gayheart Jr |
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Gender | Male |
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Speciality | Pharmacist - Ambulatory Care |
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Location | 12981 Sw Upper Ridge Rd, Terrebonne, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457881468
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mr Coleman Gayheart Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457881468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P2201X | Pharmacist - Ambulatory Care | 8739 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Coleman Gayheart Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Coleman Gayheart Jr, PHARMACIST 12981 Sw Upper Ridge Rd, Terrebonne, OR 97760-9212 Ph: (541) 306-0655 | Mr Coleman Gayheart Jr, PHARMACIST 12981 Sw Upper Ridge Rd, Terrebonne, OR 97760-9212 Ph: (541) 306-0655 |
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