PHARMACA INTEGRATIVE PHARMACY, INC (NPI# 1932597978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932597978 |
| Entity Type | Organization |
| Organization Name | PHARMACA INTEGRATIVE PHARMACY, INC |
| Practice Address |
240 Nw Lost Springs Terrace Suite 36 Portland OR 97229 |
| Mailing Address |
4940 Pearl East Circle Suite 301 Boulder CO 80301 |
| Practice Telephone | 5035963565 |
| Practice Fax Number | 5035963566 |
| Mailing Telephone | 3038673122 |
| Mailing Fax Number | 3038674122 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | MR. GREG LEGORE (VP. PHARMACY OPERATIONS) |
| Authorized Official Telephone | 8052179926 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP-0003027 | OR | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104217934 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 26538 Moulton Pkwy Ste G, Laguna Hills, CA 92653-8232 | 2015-02-16 |
| 1194020438 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 2313 N Lincoln Ave, Chicago, IL 60614-4822 | 2011-01-18 |
| 1285687848 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 9101 W Olympic Blvd Unit A&b, Beverly Hills, CA 90212 | 2006-05-17 |
| 1780682757 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 12025 San Vicente Blvd, Los Angeles, CA 90049 | 2005-07-13 |
| 1700307055 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 9101 W Olympic Blvd Unit A&b, Beverly Hills, CA 90212-3507 | 2017-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHARMACA INTEGRATIVE PHARMACY, INC. | 4130 E Madison, Seattle, WA 98112 |
| Oregon Corporations, Companies and Business Names | PHARMACA INTEGRATIVE PHARMACY, INC. | 13 Nw 23rd Pl, Portland, OR 97210 |
| Colorado Business Entities | Pharmaca Integrative Pharmacy, Inc. | 4940 Pearl East Circle, Suite 301, Boulder, CO 80301 |
| Street Address |
240 NW LOST SPRINGS TERRACE SUITE 36 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| 1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
| Find all providers in zip 97229 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1023414588 | Healthscripts of America - Portland, LLC | Pharmacy | 10305 Sw Parkway, Portland, OR 97225-5011 | 2014-11-11 |
| Find all providers in PORTLAND | ||||
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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.