OREGON CVS PHARMACY LLC (NPI# 1992727614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992727614 |
| Entity Type | Organization |
| Organization Name | OREGON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16155 |
| Practice Address |
2255 14th Ave Se Albany OR 97322-8513 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5417919566 |
| Practice Fax Number | 5419714284 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-25 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | RP-0002274 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2079357 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16155 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
| 1588008312 | Oregon Cvs Pharmacy LLC | Pharmacy | 939 Sw Morrison St, Portland, OR 97205-2727 | 2013-04-23 |
| 1467708214 | Oregon Cvs Pharmacy LLC | Pharmacy | 1555 N Tomahawk Island Dr, Portland, OR 97217-7912 | 2012-07-31 |
| 1306078035 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9401 Ne Cascades Pkwy, Portland, OR 97220-6824 | 2009-08-13 |
| 1619125614 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9000 Se Sunnyside Rd, Clackamas, OR 97015-9758 | 2008-09-03 |
| 1194747816 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2750 Gateway St, Springfield, OR 97477-1172 | 2006-07-24 |
| 1548282262 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3790 Center St Ne, Salem, OR 97301-2905 | 2006-07-24 |
| Street Address |
2255 14TH AVE SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-8513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235667890 | Joshua Tai | Pharmacist | 2255 14th Ave Se, Albany, OR 97322-8513 | 2017-05-26 |
| 1710421938 | Quynh Hoa Nguyen Tran | Pharmacist | 2255 14th Ave Se, Albany, OR 97322-8513 | 2016-12-07 |
| 1679850846 | Betty Duong | Pharmacist | 2255 14th Ave Se, Albany, OR 97322 | 2011-11-15 |
| 1467737254 | Shelly Lee | Pharmacist | 2255 14th Ave Se, 0609, Albany, OR 97322-8513 | 2011-10-12 |
| 1629365325 | Betsy Jayne Garrett | Pharmacist | 2255 14th Ave Se, T-0609, Albany, OR 97322-8513 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457837296 | Pack Pharmacy LLC | Pharmacy | 253 E Oglethorpe Blvd, Albany, GA 31705-2705 | 2018-07-16 |
| 1932524808 | Loudonville Pharmacy LLC | Pharmacy | 265 Osborne Rd, Albany, NY 12211-1879 | 2014-02-28 |
| 1134556764 | Phyllis K. Curry L.L.C. | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2013-09-27 |
| 1992949275 | Nys Office of Mental Health | Pharmacy | 44 Holland Avenune, Attn: Finance Group/mgp, Albany, NY 12229-0001 | 2009-04-30 |
| 1033362314 | South Albany Pharmacy | Pharmacy | 1310 Newton Rd, Albany, GA 31701-3480 | 2008-10-30 |
| 1912178294 | Johns Pharmacy In Albany LLC | Pharmacy | 29148 South Montpelier Ave, Albany, LA 70711 | 2008-03-14 |
| 1154414514 | Southern Family Markets LLC | Pharmacy | 2826 Meredyth Dr, Albany, GA 31707-0208 | 2006-09-30 |
| 1417052846 | Ccrx of New York, LLC | Pharmacy | 431 New Karner Rd, Albany, NY 12205-3868 | 2006-09-13 |
| 1699887604 | Hrx Ltd | Pharmacy | 1333 Clay St Se, Albany, OR 97322-6868 | 2006-08-31 |
| 1396859369 | Tlc Drugs | Pharmacy | 523 7th Ave, Albany, GA 31701-1921 | 2006-08-18 |
| Find all providers in ALBANY | ||||
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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.