# EPPIK INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MIKES MEDICAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053353821
- **Authorized official:** MICHAEL DOUGLAS (PHARMACIST/OWNER)
- **Authorized official phone:** (503) 538-5715

## Contact information

- **Practice address:** 201 VILLA RD, NEWBERG, OR 97132-1828
- **Practice address phone:** (503) 538-5715
- **Practice address fax:** (503) 537-1068
- **Mailing address:** 201 VILLA RD, NEWBERG, OR 97132-1828
- **Mailing address phone:** (503) 538-5715
- **Mailing address fax:** (503) 537-1068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00327 | OR | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 05/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117861 | — | OR |
| 01 | — | 3802990 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |