OAK STREET PHARMACY (NPI# 1154336840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154336840 |
| Entity Type | Organization |
| Organization Name | OAK STREET PHARMACY |
| Other Organization Name | OAK TREE PHARMACY |
| Practice Address |
2940 Commercial St Se Salem OR 97302-4552 |
| Practice Telephone | 5035852877 |
| Practice Fax Number | 5035856007 |
| Mailing Telephone | 5035852877 |
| Mailing Fax Number | 5035856007 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN S SHERMAN (OWNER) |
| Authorized Official Telephone | 5035852877 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP0000552 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 170982 | 05 | |
| OR | 231993 | 05 | |
| OR | NCPDP | 38-09639 | 01 |
| Other Name | Type Code |
|---|---|
| Oak Tree Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184153157 | Oak Street Pharmacy | Pharmacy | 850 W 63rd St, Chicago, IL 60621-1902 | 2017-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OAK STREET PHARMACY, INC. | 2940 Commercial St Se, Salem, OR 97302 |
| Massachusetts Corporations | OAK STREET PHARMACY, INC. | 138 Worcester Rd, Natick, MA 01760 |
| Street Address |
2940 COMMERCIAL ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609297639 | John Scott Sherman | Pharmacist | 2940 Commercial St Se, Salem, OR 97302-4552 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815014 | Matthew Rumsey | Durable Medical Equipment & Medical Supplies | 869 E 960 S, Salem, UT 84653-5758 | 2020-09-15 |
| 1790268464 | Spinal Med, Inc. | Durable Medical Equipment & Medical Supplies | 4676 Commercial St Se Ste 381, Salem, OR 97302-1902 | 2018-09-10 |
| 1649791708 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 601 S Main St Ste 106, Salem, IN 47167-1057 | 2017-06-29 |
| 1205380474 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1309 E Hackberry St, Salem, IN 47167-9604 | 2016-08-05 |
| 1417400052 | Cascade Sleep Supply, LLC. | Durable Medical Equipment & Medical Supplies | 1500 Liberty St Se Ste 170, Salem, OR 97302-4386 | 2016-08-01 |
| 1194150599 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 5 Hampstead Rd, Salem, NH 03079-2404 | 2013-09-05 |
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 1992066724 | Trustcare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 117 Goodwin Ave, Salem, VA 24153-3227 | 2012-06-07 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| 1104127240 | Lindberg-turner Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 315 Mission St Se Ste 100, Salem, OR 97302-6231 | 2010-11-05 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on OAK STREET PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.