OREGON CVS PHARMACY LLC (NPI# 1104848829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104848829 |
| Entity Type | Organization |
| Organization Name | OREGON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16126 |
| Practice Address |
9009 Sw Hall Blvd Tigard OR 97223-4432 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5036393446 |
| Practice Fax Number | 5032077176 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-09 |
| 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-0001657 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078890 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16126 | 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 |
| 1992727614 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2255 14th Ave Se, Albany, OR 97322-8513 | 2006-07-24 |
| Street Address |
9009 SW HALL BLVD |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495239 | Eileen Wang | Pharmacist | 9009 Sw Hall Blvd, Tigard, OR 97223-4432 | 2020-10-16 |
| 1992311963 | Summer Trang Nguyen | Pharmacist | 9009 Sw Hall Blvd, Tigard, OR 97223-4432 | 2020-09-16 |
| 1497247928 | Molly C Carriero | Pharmacist | 9009 Sw Hall Blvd, Tigard, OR 97223-4432 | 2018-05-31 |
| 1114351897 | Eduard Scheckmann | Pharmacist | 9009 Sw Hall Blvd, T-0345, Tigard, OR 97223-4432 | 2013-08-29 |
| 1003185802 | Lindsay Kay Fredericks | Pharmacist | 9009 Sw Hall Blvd, T-0345, Tigard, OR 97223-4432 | 2011-12-22 |
| 1730468166 | Christopher De Guzman | Pharmacist | 9009 Sw Hall Blvd, T-0345, Tigard, OR 97223-4432 | 2011-08-16 |
| 1013204874 | Jeannette Kathleen Johnson | Pharmacist | 9009 Sw Hall Blvd, Tigard, OR 97223-4432 | 2011-06-30 |
| 1104113075 | Janice R Nelson | Pharmacist | 9009 Sw Hall Blvd, Tigard, OR 97223-4432 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| 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 |
|---|---|---|---|---|
| 1063458925 | Fred Meyer Stores Inc | Pharmacy | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2006-06-21 |
| 1083657878 | Longs Drug Stores California Inc | Pharmacy | 10164 Sw Washington Square Rd, Tigard, OR 97223-4458 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521784 | Genoa Healthcare, LLC | Pharmacy | 627 Ne Evans St Ste P, Mcminnville, OR 97128-3923 | 2020-02-28 |
| 1447725502 | Medsavvy, Inc | Pharmacy | 1621 Sw First Ave, Portland, OR 97201-5713 | 2018-10-04 |
| 1659862936 | Coast Community Health Center | Pharmacy | 716 Highway 101, Port Orford, OR 97465-8672 | 2018-05-23 |
| 1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1790294965 | Oregon Health & Science University | Pharmacy | 707 Sw Gaines St Rm 1133, Portland, OR 97239-2901 | 2017-09-20 |
| 1790202323 | Genoa Healthcare, LLC | Pharmacy | 702 Sunset Dr Ste P1, Ontario, OR 97914-3121 | 2017-08-24 |
| 1144767427 | Prestige Professional Pharmacy | Pharmacy | 11723 Ne Glisan St, Portland, OR 97220-2141 | 2017-01-25 |
| 1700321825 | Legacy Emanuel Hospital and Health Center | Pharmacy | Unity Center for Behavioral Health, 1225 Ne 2nd St, Portland, OR 97232 | 2016-12-28 |
| 1972908077 | Zoom Care PC | Pharmacy | 1455 Nw Irving St Ste 500, Portland, OR 97209-2277 | 2014-10-31 |
| Find all providers with the same taxonomy | ||||
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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.