ROGER W PELTOLA (NPI# 1790853596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790853596 |
| Entity Type | Organization |
| Organization Name | ROGER W PELTOLA |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
333 Se 7th Ave Ste 1500 Hillsboro OR 97123 |
| Mailing Address |
333 Se 7th Ave Ste 1500 Hillsboro OR 97123-4157 |
| Practice Telephone | 5036404433 |
| Practice Fax Number | 5036932975 |
| Mailing Telephone | 5036404433 |
| Mailing Fax Number | 5036932975 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-05-13 |
| Authorized Official Name | ROGER PELTOLA (OWNER PHARMACIST) |
| Authorized Official Telephone | 5036404433 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | RP-0001419-CS | OR | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BOP LICENSE | RP-0001419-CS | 01 |
| OR | 070271 | 05 | |
| NCPDP | 3811949 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
333 SE 7TH AVE STE 1500 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437111507 | Northwest Cardiologists, P.C. | Internal Medicine | 333 Se 7th Ave, Suite 5200, Hillsboro, OR 97123-4157 | 2006-04-04 |
| 1053859694 | Virginia Garcia Memorial Health Center | Clinic/Center | 333 Se 7th Ave, Sutie 5500, Hillsboro, OR 97123-4157 | 2017-02-02 |
| 1033595269 | Pacific University | Clinic/Center | 333 Se 7th Ave, Suite 4250, Hillsboro, OR 97123-4157 | 2015-08-11 |
| 1891130811 | Providence Health & Services - Oregon | Internal Medicine | 333 Se 7th Ave, Suite 5200, Hillsboro, OR 97123-4182 | 2013-05-03 |
| 1760826366 | David Kenneth Brown | Audiologist | 333 Se 7th Ave, Suite 4450, Hillsboro, OR 97123-4157 | 2013-04-25 |
| 1720357106 | Lisa Marie Mcgaffey | Pharmacist | 333 Se 7th Ave, Suite #1500, Hillsboro, OR 97123-4157 | 2011-12-14 |
| 1992083869 | Roger Peltola | Pharmacist | 333 Se 7th Ave, Ste 1500, Hillsboro, OR 97123-4157 | 2011-07-26 |
| 1760616460 | Trent Westrick | Audiologist | 333 Se 7th Ave, Ste 4150, Hillsboro, OR 97123-4157 | 2009-05-08 |
| 1871738567 | Lisa Marie Davis Bell | Audiologist | 333 Se 7th Ave, Suite 4150, Hillsboro, OR 97123-4157 | 2008-12-09 |
| 1477727667 | Abigayle Marie Callender | Audiologist | 333 Se 7th Ave, Suite 4150, Hillsboro, OR 97123-4157 | 2008-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| 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 |
|---|---|---|---|---|
| 1154775864 | Sirum Charitable Pharmacy | Pharmacy | 334 Se 5th Ave Ste B, Hillsboro, OR 97123-4107 | 2016-04-19 |
| 1528129699 | American Advancement LLC | Pharmacy | 1323 E Franklin St # 100, Hillsboro, TX 76645-2621 | 2006-12-13 |
| 1386747053 | Highland Park Cvs, L.L.C. | Pharmacy | 608 S Main St, Hillsboro, IL 62049-1732 | 2006-09-07 |
| 1184727802 | Ohio Cvs Stores LLC | Pharmacy | 1400 N High St, Hillsboro, OH 45133-8514 | 2006-09-07 |
| 1669582292 | Costco Wholesale Corporation | Pharmacy | 1255 Ne 48th Ave, Hillsboro, OR 97124 | 2006-08-30 |
| 1235144221 | Walgreen Co | Pharmacy | 7010 Ne Cornell Rd, Hillsboro, OR 97124-5422 | 2006-07-29 |
| 1225589856 | Costco Wolesale | Pharmacy | 1255 Ne 48th Ave, Hillsboro, OR 97124-5008 | 2016-10-19 |
| 1457808826 | Falcon Pharmacy Investments LLC | Pharmacy | 111 S High St, Hillsboro, OH 45133-1442 | 2016-09-02 |
| 1518376755 | Rite Aid | Pharmacy | 2425 Se Tv Hwy, Hillsboro, OR 97123-7977 | 2014-08-12 |
| 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 |
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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.