OREGON CVS PHARMACY LLC (NPI# 1194747816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194747816 |
Entity Type | Organization |
Organization Name | OREGON CVS PHARMACY LLC |
Other Organization Name | CVS PHARMACY #16158 |
Practice Address |
2750 Gateway St Springfield OR 97477-1172 |
Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 5417411547 |
Practice Fax Number | 5416037804 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2016-12-09 |
Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
Authorized Official Telephone | 4017702751 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | RP-0002094 | OR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2079250 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy #16158 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
1588008312 | Oregon Cvs Pharmacy LLC | Pharmacy | 939 Sw Morrison St, Portland, OR 97205-2727 | 2013-04-23 |
1467708214 | Oregon Cvs Pharmacy LLC | Pharmacy | 1555 N Tomahawk Island Dr, Portland, OR 97217-7912 | 2012-07-31 |
1306078035 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9401 Ne Cascades Pkwy, Portland, OR 97220-6824 | 2009-08-13 |
1619125614 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9000 Se Sunnyside Rd, Clackamas, OR 97015-9758 | 2008-09-03 |
1992727614 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2255 14th Ave Se, Albany, OR 97322-8513 | 2006-07-24 |
1548282262 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3790 Center St Ne, Salem, OR 97301-2905 | 2006-07-24 |
Street Address |
2750 GATEWAY ST |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477-1172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760759187 | Elizabeth Simpson | Pharmacist | 2750 Gateway St, T-0612, Springfield, OR 97477-1172 | 2011-11-30 |
1255628400 | Shannon R Young | Pharmacist | 2750 Gateway St, Springfield, OR 97477-1172 | 2011-07-07 |
1487955324 | Anthony James Eberle | Pharmacist | 2750 Gateway St, Springfield, OR 97477-1172 | 2010-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
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1326572215 | Kyrielynn LLC | Pharmacy | 4923 Security Dr, Springfield, OH 45503-5651 | 2017-04-18 |
1386016327 | Wal-mart Stores East Lp | Pharmacy | 444 W Grand St, Springfield, MO 65807-1406 | 2015-10-29 |
1386036713 | Quality Zone Pharmacy Corp | Pharmacy | 355 Belmont Ave, Springfield, MA 01108-2000 | 2015-02-23 |
1558606327 | Niemann Foods Inc | Pharmacy | 210 E Carpenter St, Springfield, IL 62702-5128 | 2012-12-05 |
1982957403 | Independence Holding Co LLC | Pharmacy | 201 N 5th St, Springfield, IL 62701-1001 | 2012-10-22 |
1235426057 | Holistic Pharmacy Services Inc | Pharmacy | 133 E North Grand Ave, Springfield, IL 62702-3859 | 2011-06-30 |
1295044840 | Smith & Peck Pharmacy Management Services Inc | Pharmacy | 242 River St, Springfield, VT 05156-2306 | 2010-09-30 |
1790006724 | Hometown Pharmacy LLC | Pharmacy | 27118 Highway 42, Springfield, LA 70462-7979 | 2010-06-14 |
1861638314 | Jmc Pharmacies, LLC. | Pharmacy | 2103 E Rockhurst St Ste 108, Springfield, MO 65802-6501 | 2009-01-05 |
1649331042 | Cr Springfield, LLC | Pharmacy | 1050 Upper Valley Pike, Springfield, OH 45504-4016 | 2006-12-12 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97477 |
Please comment or provide details below to improve the information on OREGON CVS PHARMACY LLC.
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.