AVALINA PHARMACY INC


Address: 3507 Commercial St Se, Salem, OR 97302
Phone: 5039021902

AVALINA PHARMACY INC (NPI# 1659857480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659857480
Entity Type Organization
Organization Name AVALINA PHARMACY INC
Other Organization Name AVALINA PHARMACY
Practice Address 3507 Commercial St Se
Salem
OR 97302
Practice Telephone 5039021902
Practice Fax Number 5039907629
Mailing Telephone 5039021902
Mailing Fax Number 5039907629
Enumeration Date 2018-07-16
Last Update Date 2019-09-24
NPI Deactivation Date 05/17/2019
NPI Reactivation Date 2019-07-17
Authorized Official Name JOO HYEON KIM (PRESIDENT)
Authorized Official Telephone 5036860225
Authorized Official Credential PHARM.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500761820 05

Other Provider/Organization Names

Other Name Type Code
Avalina Doing Business As Name - Organization
Avalina Pharmacy Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
3509 Commercial St Se Ste 3507, Salem, OR 973023829 5418290115

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names AVALINA PHARMACY INC. 3507 Commercial St Se, Salem, OR 97302

Office Location

Street Address 3507 COMMERCIAL ST SE
City SALEM
State OR
Zip Code 97302

Providers in the same zip code

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
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
1952754442 Nathan Patrick Johnson Registered Nurse 4035 12th St Cutoff Se Ste 120, Salem, OR 97302 2016-07-19
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477027852 Premier Pharmacy LLC Pharmacy 53 Stiles Rd Ste B102, Salem, NH 03079-2890 2019-01-18
1386090793 Good Living Inc Pharmacy 1201 N Jim Day Rd Ste B, Suite B, Salem, IN 47167-7219 2016-05-05
1760859367 Quisenberry Health System Pharmacy, LLC Pharmacy 148 Liberty St Se, Salem, OR 97301-3506 2015-08-31
1649306531 Benignity LLC Dba Fort Lewis Pharmacy Pharmacy 2246 West Main St, Salem, VA 24153 2007-02-26
1316047749 Cvs Pharmacy Inc Pharmacy 272 Highland Ave, Salem, MA 01970-1832 2006-09-25
1366542318 Guffeys Pharmacy Inc Pharmacy 172 Hwy 62 E, Suite 2, Salem, AR 72576-0155 2006-09-22
1487753836 Cvs Pharmacy Inc Pharmacy 200 Essex St, Salem, MA 01970-3705 2006-09-22
1730288184 Cvs Pharmacy Inc Pharmacy 426b Essex St, Salem, MA 01970-3152 2006-09-22
1982707618 Virginia Cvs Pharmacy, L.L.C. Pharmacy 179 Electric Rd, Salem, VA 24153-4432 2006-09-07
1205946837 Costco Wholesale Corporation Pharmacy 1010 Hawthorne Ave Se, Salem, OR 97301 2006-08-30
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97302

Improve Information

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Dataset Information

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.

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