SIRUM CHARITABLE PHARMACY (NPI# 1154775864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154775864 |
| Entity Type | Organization |
| Organization Name | SIRUM CHARITABLE PHARMACY |
| Other Organization Name | SIRUM CHARITABLE PHARMACY |
| Practice Address |
334 Se 5th Ave Ste B Hillsboro OR 97123-4107 |
| Mailing Address |
150 Alma St Apt 116 Menlo Park CA 94025-3748 |
| Practice Telephone | 5036480782 |
| Practice Fax Number | 8442383420 |
| Mailing Telephone | 6504887434 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | GEORGE WANG (CO-FOUNDER & DIRECTOR) |
| Authorized Official Telephone | 6504887434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | CP-0000014 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159403 | 01 |
| Other Name | Type Code |
|---|---|
| SIRUM Charitable Pharmacy | Doing Business As Name - Organization |
| Street Address |
334 SE 5TH AVE STE B |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| 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 |
|---|---|---|---|---|
| 1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
| 1932272408 | Brookshire Grocery Company | Pharmacy | 120 S Waco St, Attention Pharmacy Dept, Hillsboro, TX 76645-7708 | 2006-11-15 |
| 1851406896 | Downtown Drug | Pharmacy | 111 S High St, Hillsboro, OH 45133-1442 | 2006-08-20 |
| 1942227780 | Lin-kris Pharmacy Inc | Pharmacy | 10666 Business 21, Hillsboro, MO 63050-5097 | 2006-07-17 |
| 1144246000 | Peterson Pharmacy Inc | Pharmacy | 727 Water Ave, Hillsboro, WI 54634-6229 | 2006-07-14 |
| 1932135142 | Fred Meyer Stores Inc | Pharmacy | 22075 Nw Imbrie Dr, Hillsboro, OR 97124-7578 | 2006-06-23 |
| 1962461350 | Wmso LLC | Pharmacy | 661 Se Baseline St, Hillsboro, OR 97123-4115 | 2006-03-22 |
| 1093717043 | Medicine Store | Pharmacy | 231 N High St, Hillsboro, OH 45133-1128 | 2005-06-02 |
| 1760027650 | Katherine Salness | Pharmacy | 7010 Ne Cornell Rd, Hillsboro, OR 97124-5422 | 2019-11-14 |
| 1265708812 | Credena Health LLC | Pharmacy | 10670 Ne Cornell Rd Ste 102, Hillsboro, OR 97124-9221 | 2012-03-28 |
| Find all providers in HILLSBORO | ||||
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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.