SISKIYOU COMMUNITY HEALTH CENTER PHARMACY (NPI# 1427404094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427404094 |
| Entity Type | Organization |
| Organization Name | SISKIYOU COMMUNITY HEALTH CENTER PHARMACY |
| Practice Address |
25647 Redwood Hwy Cave Junction OR 97523-9332 |
| Mailing Address |
1701 Nw Hawthorne Ave Grants Pass OR 97526-1257 |
| Practice Telephone | 5415924111 |
| Practice Fax Number | 5415923916 |
| Mailing Telephone | 5414713455 |
| Mailing Fax Number | 5414719242 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | KURT HIGUERA (CEO) |
| Authorized Official Telephone | 5414713455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP-0003008-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500715326 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881049658 | Siskiyou Community Health Center Pharmacy | Pharmacy | 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 | 2016-04-29 |
| 1396141255 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2014-11-05 |
| Street Address |
25647 REDWOOD HWY |
| City | CAVE JUNCTION |
| State | OR |
| Zip Code | 97523-9332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
| 1316304652 | Kristi Ibarra | Registered Nurse | 25647 Redwood Hwy, Cave Junction, OR 97523 | 2016-01-18 |
| 1396141255 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2014-11-05 |
| 1023362894 | Barbara Jo Franklin | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2012-11-01 |
| 1972896389 | Natalie Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1992098362 | Brian Sydney Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1275852212 | Larry Bates | Counselor | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2010-05-28 |
| 1669638417 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-07-31 |
| 1700062510 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-01-11 |
| 1356472161 | Michael George Pruner | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161608 | Donato and Wood Consulting | Physical Therapist | 218 Redwood Hwy, Cave Junction, OR 97523 | 2016-09-01 |
| 1366871519 | Coastal Pharmacies, LLC | Pharmacy | 308b S Redwood Hwy, Cave Junction, OR 97523 | 2013-11-08 |
| 1548497688 | Patricia Lynn Jenkins | Registered Nurse | 28186 Redwood Highway, Cave Junction, OR 97523 | 2009-06-16 |
| 1386786309 | Eye Care Group of Southern Oregon, P.C. | Optometrist | 335 Caves Highway, Cave Junction, OR 97523 | 2007-02-13 |
| 1578631461 | Steve Mock | Dentist | 315 - B Caves Highway, Cave Junction, OR 97523 | 2006-12-01 |
| 1114092079 | Joya H Feltzin | Nurse Practitioner | 625 E River Street, Illinois Valley High School Student Health Center, Cave Junction, OR 97523 | 2006-11-22 |
| 1316039787 | Elements of Health & Wellness, Inc. | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2006-09-29 |
| 1861628281 | Chiropractic Wellness Center LLC | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-06-01 |
| 1033344494 | James A Minervini | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-05-28 |
| 1881775989 | John Larry Patton | Dentist | 315 Caves Hwy, Cave Junction, OR 97523-0610 | 2006-10-17 |
| Find all providers in zip 97523 | ||||
| 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 |
|---|---|---|---|---|
| 1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
| 1346850641 | Credena Health LLC | Pharmacy | 1510 Division St Ste 110, Oregon City, OR 97045-1572 | 2020-08-03 |
| 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 |
| 1467090183 | Mosaic Medical | Pharmacy | 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 | 2019-12-12 |
| 1598302119 | Beacon Health Care Solutions Incorporated | Pharmacy | 2790 Broadway Ave, North Bend, OR 97459-2216 | 2019-12-02 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CAVE JUNCTION |
| Zip Code | 97523 |
Please comment or provide details below to improve the information on SISKIYOU COMMUNITY HEALTH CENTER 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.