US Prescription Drug Monitoring Program (PDMP)
1.0.0-ballot - STU1 Ballot United States of America flag

This page is part of the US Prescription Drug Monitoring Program (PDMP) (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: pdmp-pharmacy-1 - XML Representation

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<Organization xmlns="http://hl7.org/fhir">
  <id value="pdmp-pharmacy-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">The pharmacy that dispensed the reported medication: Our Pharmacy</div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="DEA"/>
        <display value="Drug Enforcement Administration registration number"/>
      </coding>
    </type>
    <system value="urn:oid:2.16.840.1.113883.4.814"/>
    <value value="CS4861378"/>
  </identifier>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-npi"/>
    <value value="1669512349"/>
  </identifier>
  <identifier>
    <system
            value="http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber"/>
    <value value="999017"/>
  </identifier>
  <active value="true"/>
  <name value="Our Pharmacy"/>
  <telecom>
    <system value="phone"/>
    <value value="952-555-5555"/>
  </telecom>
  <telecom>
    <system value="email"/>
    <value value="contact-our-pharmacy@email.org"/>
  </telecom>
  <address>
    <line value="220 Oak St"/>
    <city value="Minneapolis"/>
    <state value="MN"/>
    <postalCode value="55008"/>
    <country value="USA"/>
  </address>
</Organization>