GRANTS PASS PHARMACY, INC. (NPI# 1861773798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861773798 |
| Entity Type | Organization |
| Organization Name | GRANTS PASS PHARMACY, INC. |
| Other Organization Name | GRANTS PASS PHARMACY |
| Practice Address |
414 Sw 6th St. Grants Pass OR 97526-2810 |
| Practice Telephone | 5414764262 |
| Practice Fax Number | 5414741443 |
| Mailing Telephone | 5414764262 |
| Mailing Fax Number | 5414741443 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| Authorized Official Name | MS. MICHELE M BELCHER (VP OF OPERATIONS) |
| Authorized Official Telephone | 5414764262 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
0001164 | OR | Suppliers |
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
0001164 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | INSTITUTIONAL DRUG OUTLET WITH CONTROLLED SUBSTANCE REGISTRATON | IP-0001164-CS | 01 |
| OR | 076356 | 05 | |
| OR | DEA REGISTRATION- INSTITUTIONAL DIVISION | FG2792376 | 01 |
| Other Name | Type Code |
|---|---|
| Grants Pass Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457411779 | Grants Pass Pharmacy, Inc. | Pharmacy | 414 Sw 6th St, Grants Pass, OR 97526-2810 | 2006-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GRANTS PASS PHARMACY, INC. | 414 Sw 6th St, Grants Pass, OR 97526 |
| Street Address |
414 SW 6TH ST. |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1164780532 | University Compounders LLC | Pharmacy | 9150 Sw Pioneer Ct, Wilsonville, OR 97070-9623 | 2012-04-24 |
| 1770713224 | Oregon Health & Science University | Pharmacy | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008-8179 | 2009-07-17 |
| 1053454645 | Oregon Health and Science University | Pharmacy | 700 Sw Campus Dr Ste 7480, Portland, OR 97239-3107 | 2007-02-14 |
| 1326158585 | Malheur Drug, Inc | Pharmacy | 198 A St W, Vale, OR 97918-1302 | 2006-08-30 |
| 1497713739 | Genoa Healthcare, LLC | Pharmacy | 529 W Centennial Blvd, Springfield, OR 97477-2804 | 2006-05-03 |
| 1619520863 | Central Pharmacy (oregon Department of Corrections) | Pharmacy | 2757 22nd St Se, Salem, OR 97302-1553 | 2019-07-17 |
| 1366836041 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-03-20 |
| 1275922239 | Oregon State Hospital - Junction City Campus | Pharmacy | 29398 Recovery Way, Junction City, OR 97448 | 2015-01-14 |
| 1740603646 | Silverton Hospital Pharmacy | Pharmacy | 342 Fairview St, Silverton, OR 97381-1917 | 2014-01-28 |
| 1801230529 | Kaiser Foundation Hospitals | Pharmacy | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2013-04-24 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.