BIMART CORPORATION (NPI# 1992738256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992738256 |
| Entity Type | Organization |
| Organization Name | BIMART CORPORATION |
| Other Organization Name | BIMART PHARMACY #629 |
| Practice Address |
17108 Se Powell Blvd Portland OR 97236-1753 |
| Mailing Address |
Po Box 2310 Attn: Megan Collins Eugene OR 97402-0199 |
| Practice Telephone | 5036675377 |
| Practice Fax Number | 8662575782 |
| Mailing Telephone | 5418681766 |
| Mailing Fax Number | 5413450264 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | MR. BRIAN CROOK (VP OF PHARMACY) |
| Authorized Official Telephone | 5418681761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164922 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3808132 | 01 | |
| FEDERAL DEA | BU1419010 | 01 | |
| OR | RRB | P00338431 | 01 |
| OR | STATE LICENSE | RP0000870CS | 01 |
| Other Name | Type Code |
|---|---|
| BIMART PHARMACY #629 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659513026 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 445 Highway 20, Sisters, OR 97759 | 2009-04-01 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1033380324 | Bimart Corporation | Pharmacy | 220 S Seneca Rd, Eugene, OR 97402-2725 | 2008-03-14 |
| 1922033984 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 4780 Royal Ave, Eugene, OR 97402-1755 | 2006-07-11 |
| 1013942077 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 1521 Mohawk Blvd, Springfield, OR 97477-3355 | 2006-07-11 |
| 1154354413 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 550 S 4th St, Coos Bay, OR 97420-1506 | 2006-07-09 |
| 1366475626 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 5744 Main St, Springfield, OR 97478-6964 | 2006-07-09 |
| 1972536233 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 110 E 6th Ave, Junction City, OR 97448-1807 | 2006-07-09 |
| 1528091881 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 1701 Shaff Rd, Stayton, OR 97383-1091 | 2006-07-09 |
| 1700819067 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 3300 W 6th St, The Dalles, OR 97058-4144 | 2006-07-09 |
| Street Address |
17108 SE POWELL BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750654968 | Anthony F. Defazio | Pharmacist | 17108 Se Powell Blvd, Portland, OR 97236-1753 | 2012-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| 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 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| 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.