UNIVERSITY COMPOUNDERS LLC


Address: 9150 Sw Pioneer Ct, Wilsonville, OR 97070-9623
Phone: 5034270361

UNIVERSITY COMPOUNDERS LLC (NPI# 1164780532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164780532
Entity Type Organization
Organization Name UNIVERSITY COMPOUNDERS LLC
Other Organization Name PROGRESS HEALTH SERVICES
Practice Address 9150 Sw Pioneer Ct
Wilsonville
OR 97070-9623
Practice Telephone 5034270361
Practice Fax Number 9712244385
Mailing Telephone 5034270361
Mailing Fax Number 9712244385
Enumeration Date 2012-04-24
Last Update Date 2016-03-30
Authorized Official Name TERESA YIP (MANAGER)
Authorized Official Telephone 5034270361
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
RP-0002240-CS OR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2134542 01

Other Provider/Organization Names

Other Name Type Code
Progress Health Services Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names UNIVERSITY COMPOUNDERS LLC 9150 Sw Pioneer Ct Suite B, Wilsonville, OR 97070

Office Location

Street Address 9150 SW PIONEER CT
City WILSONVILLE
State OR
Zip Code 97070-9623

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1073050472 Kirstin Marie Lauritzen Chiropractor 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 2017-01-23
1932642220 Nicole Galasso Occupational Therapy Assistant 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 2016-11-18
1508317512 Justin Langlais Naturopath 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 2016-10-14
1518411149 Stephanie Tran Optometrist 29250 Town Center Loop W, Wilsonville, OR 97070 2016-08-11
1346610607 Rachel Ziegler Occupational Therapy Assistant 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 2015-09-30
1992184238 Michelle Miranda Counselor 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 2015-05-19
1609275007 Ryan Bridges Dentist 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 2014-08-21
1649604018 Jason Russell James Physical Therapist 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 2013-08-21
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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]

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NPI Name Taxonomy Address Enumeration
1023440864 Olson Pharmacy Services Pharmacy 617 Monroe St, Oregon City, OR 97045-2336 2013-08-03
1861773798 Grants Pass Pharmacy, Inc. Pharmacy 414 Sw 6th St., Grants Pass, OR 97526-2810 2011-09-06
1003051558 Howard's Pharmacy Inc. Pharmacy 101 N F St, Lakeview, OR 97630-1529 2008-12-12
1558448225 Pill Box Drugs Inc Pharmacy 635 N Arrowleaf Trl, Sisters, OR 97759 2006-11-01
1881776722 Quisenberry Pharmacies Inc. Pharmacy 150 Liberty St Se, Salem, OR 97301-3506 2006-10-19
1093808198 Pill Box Drugs Inc Pharmacy 906 Nw Kings Blvd, Corvallis, OR 97330 2006-10-02
1871690719 Pill Box Drugs Inc Pharmacy 910 Nw Kings Blvd, Corvallis, OR 97330-2505 2006-09-20
1952405664 Dept. of Human Srvcs/office of Fin. Srvcs Dba Irs/eopc/eotc/osh/osh-p Pharmacy 2600 Westgate, Pendleton, OR 97801-9604 2006-09-12
1780795765 Evergreen Pharmaceutical, LLC Pharmacy 259 E Barnett Rd Ste L, Medford, OR 97501-7953 2006-08-31
1235240391 Evergreen Pharmaceutical, LLC Pharmacy 11933 Ne Glenn Widing Dr, Portland, OR 97220-9099 2006-08-31
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Competitor

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City WILSONVILLE
Zip Code 97070

Improve Information

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Dataset Information

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.

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