ROCKWOOD HEALTH CLINIC PHARMACY (NPI# 1255645271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255645271 |
| Entity Type | Organization |
| Organization Name | ROCKWOOD HEALTH CLINIC PHARMACY |
| Other Organization Name | MULTNOMAH COUNTY OREGON- ROCKWOOD HEALTH CLINIC PHARMACY |
| Practice Address |
2020 Se 182nd Ave Portland OR 97233-5692 |
| Mailing Address |
619 Nw 6th Ave Fl 7 Portland OR 97209-3964 |
| Practice Telephone | 5039883353 |
| Practice Fax Number | 5039884345 |
| Mailing Telephone | 5039883353 |
| Mailing Fax Number | 5039884345 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | MICHELE KODER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5039887278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP-0002610-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3843869 | 01 | |
| OR | 500624853 | 05 |
| Other Name | Type Code |
|---|---|
| Multnomah County Oregon- Rockwood Health Clinic Pharmacy | Doing Business As Name - Organization |
| Street Address |
2020 SE 182ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-5692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518637 | Max V Grishkevich | Internal Medicine | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2006-04-19 |
| 1407454564 | Thuy-anh Ngoc Vo | Dental Hygienist | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2020-10-12 |
| 1194343038 | Sara Dunbar | Registered Nurse | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2020-07-07 |
| 1699316968 | Lenin J. Aquino | Dentist | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2019-10-08 |
| 1811547219 | Emma Moore | Nurse Practitioner | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2019-09-17 |
| 1487156022 | Multnomah County | Clinic/Center | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2018-02-28 |
| 1871927301 | Mary Jepson | Registered Nurse | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2013-09-03 |
| 1336444967 | Cort Micah Dorn-medeiros | Counselor | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2011-01-12 |
| 1528372489 | Amanda Nicole Cort | Registered Nurse | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2010-08-03 |
| 1912226325 | Multnomah County | Clinic/Center | 2020 Se 182nd Ave, Portland, OR 97233-5692 | 2010-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747775 | Cordant Pharmacy Oregon, LLC | Pharmacy | 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 | 2020-07-21 |
| 1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
| 1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on ROCKWOOD HEALTH CLINIC 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.