BI-MART CORPORATION (NPI# 1508941907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508941907 |
| Entity Type | Organization |
| Organization Name | BI-MART CORPORATION |
| Other Organization Name | BI MART PHARMACY #675 |
| Practice Address |
150 Melton Rd Creswell OR 97426-9453 |
| Mailing Address |
Po Box 2310 Attn: Megan Collins Eugene OR 97402-0199 |
| Practice Telephone | 5418959810 |
| Practice Fax Number | 8662731138 |
| Mailing Telephone | 5418681766 |
| Mailing Fax Number | 5413450264 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | MR. BRIAN CROOK (VP OF PHARMACY) |
| Authorized Official Telephone | 5418681761 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | RP-0002364-CS | OR | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP-0002364-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP # | 3842603 | 01 | |
| OR | STATE LICENSE NUMBER | RP-0002364-CS | 01 |
| OR | RRB | P00338431 | 01 |
| OR | 213022 | 05 | |
| DEA # | FB0035166 | 01 |
| Other Name | Type Code |
|---|---|
| BI MART PHARMACY #675 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 1891204277 | Bi-mart Corporation | Pharmacy | 1277 E Deer Flat Rd, Kuna, ID 83634-1337 | 2017-09-28 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1649693342 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1980 Main Street, Sweet Home, OR 97386 | 2014-01-31 |
| 1215200365 | Bi-mart Corporation | Pharmacy | 248 Wharf Street, Brookings, OR 97415-9653 | 2012-02-21 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1831378272 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2221 1st St., Cheney, WA 99004-2049 | 2007-11-02 |
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1649203902 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2030 River Rd, Eugene, OR 97404-2504 | 2006-07-09 |
| 1003849365 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2272 Santiam Hwy Se, Albany, OR 97322-5205 | 2006-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BI-MART CORPORATION | 220 Seneca Rd, Eugene, OR 97402 |
| Oregon Corporations, Companies and Business Names | BI-MART CORPORATION | 220 S Seneca Rd, Eugene, OR 97402 |
| Street Address |
150 MELTON RD |
| City | CRESWELL |
| State | OR |
| Zip Code | 97426-9453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068819 | Karissa Amber Smith | Pharmacist | 150 Melton Rd, Creswell, OR 97426-9453 | 2018-09-25 |
| 1427321108 | Patrick E Freuen | Pharmacist | 150 Melton Rd, Creswell, OR 97426-9453 | 2012-02-10 |
| 1891068680 | Ted Hoggard | Pharmacist | 150 Melton Rd, Creswell, OR 97426-9453 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811478910 | Children First Therapy LLC | Occupational Therapist | 82322 Bear Creek Road, Creswell, OR 97426 | 2018-08-27 |
| 1194268904 | Marrx, Inc | Pharmacy | 175 East Oregon Ave, Creswell, OR 97426 | 2016-11-28 |
| 1932419546 | Allen Dean Bottorff | Registered Nurse | 83010 Hungry Hill, Creswell, OR 97426 | 2010-10-15 |
| 1447570668 | Tamara Blum Dc PC | Clinic/Center | 24 West Oregon Avenue, Creswell, OR 97426 | 2010-06-10 |
| 1538313879 | Gabrielle Morningstar | Registered Nurse | 32922 Lynx Hollow Rd, Creswell, OR 97426 | 2008-11-13 |
| 1750538864 | Robin Jay Edwards | Specialist/Technologist, Other | 82090 Bear Creek Rd, Creswell, OR 97426 | 2008-08-20 |
| 1871749002 | Therapeutic Associates, Inc. | Occupational Therapist | 182 Melton Rd, Creswell, OR 97426 | 2008-08-07 |
| 1063507762 | Joanne M O'brien | Nurse Practitioner | 180 Melton Rd, Creswell, OR 97426 | 2006-10-04 |
| 1679664148 | Matthew Bahen | Dentist | 195 Melton Rd., Creswell, OR 97426 | 2006-09-27 |
| 1265545560 | Richard Moe Page | Dentist | 225 W Oregon Ave, Creswell, OR 97426 | 2006-08-17 |
| Find all providers in zip 97426 | ||||
| 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 |
|---|---|---|---|---|
| 1194268904 | Marrx, Inc | Pharmacy | 175 East Oregon Ave, Creswell, OR 97426 | 2016-11-28 |
| 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 | ||||
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| 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.