ARDON HEALTH, LLC (NPI# 1962832071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962832071 |
| Entity Type | Organization |
| Organization Name | ARDON HEALTH, LLC |
| Other Organization Name | ARDON HEALTH, LLC |
| Practice Address |
11835 Ne Glenn Widing Dr Portland OR 97220-9057 |
| Practice Telephone | 8554254085 |
| Practice Fax Number | 8554254096 |
| Mailing Telephone | 8554254101 |
| Mailing Fax Number | 8554254104 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | CHANDRA WAHRGREN (PRESIDENT) |
| Authorized Official Telephone | 5034446505 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PCN.0002782 | CT | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
64002411A | IN | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
4361 | IA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Y005898 | AZ | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHNR000256 | GA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH28357 | FL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
NRX1701250 | DC | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
054.018529 | IL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
NRP2008 | CA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
A9-0002058 | DE | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
46361MS | ID | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
22-103391 | KS | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
OSP.000644 | CO | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHA-O1385 | AK | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PMP-1004 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1962832071 | 05 | |
| SC | 7R2854 | 05 | |
| MT | 1962832071 | 05 | |
| NM | 19628790 | 05 | |
| UT | 3006801 | 05 | |
| KY | 7100529010 | 05 | |
| CO | 9000163242 | 05 | |
| NC | 1962832071 | 05 | |
| AZ | 365515 | 05 | |
| VA | 1962832071 | 05 | |
| AK | 1609651 | 05 | |
| MD | 8980063-00 | 05 | |
| NE | 10026742100 | 05 | |
| PA | 1035155530001 | 05 | |
| WA | 2034813 | 05 | |
| PK | 2143280 | 01 | |
| OR | 500668204 | 05 |
| Other Name | Type Code |
|---|---|
| Ardon Health, LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ARDON HEALTH, LLC | Ardon Health, LLC, 11835 Ne Glenn Wilding Drive, Portland, Oregon 97220 |
| Washington State Corporations | ARDON HEALTH, LLC | 11835 Ne Glenn Widing Dr, Portland, OR 97220-9057 |
| Vermont Business Registrations | ARDON HEALTH, LLC | 601 Southwest Second Avenue, Portland, OR 97204 |
| Street Address |
11835 NE GLENN WIDING DR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720196231 | Jill Louise Mcclellan | Pharmacist | 11835 Ne Glenn Widing Dr, Portland, OR 97220-9057 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1205399011 | Vfc Pharmacy #101 LLC | Pharmacy | 12 Mountfort St, Portland, ME 04101-4307 | 2019-04-09 |
| 1396125399 | Credena Health LLC | Pharmacy | 6348 Ne Halsey St, Suite A, Portland, OR 97213-4720 | 2015-06-04 |
| 1902975113 | Apria Healthcare, Inc. | Pharmacy | 12029 Ne Glenn Widing Dr, Portland, OR 97220-9050 | 2006-11-06 |
| 1649686999 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2014-07-08 |
| 1295901197 | Healthy Options Inc. | Pharmacy | 3500 Se 26th Ave, Portland, OR 97202-2901 | 2008-05-01 |
| 1790878965 | Oregon Health and Science University | Pharmacy | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528306081 | Rxmedlab Pharmacy, LLC | Pharmacy | 162 Ne Beacon Dr, Suite # 109, Grants Pass, OR 97526-4260 | 2013-01-17 |
| 1922018639 | Peacehealth Medical Group | Pharmacy | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-08-08 |
Please comment or provide details below to improve the information on ARDON HEALTH, LLC.
| 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.