BI-MART CORPORATION (NPI# 1215200365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215200365 |
| Entity Type | Organization |
| Organization Name | BI-MART CORPORATION |
| Other Organization Name | BI-MART PHARMACY #683 |
| Practice Address |
248 Wharf Street Brookings OR 97415-9653 |
| Practice Telephone | 5418131913 |
| Practice Fax Number | 8662155251 |
| Mailing Telephone | 5418131913 |
| Mailing Fax Number | 8662155251 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | BRIAN CROOK (VICE PRESIDENT OF PHARMACY) |
| Authorized Official Telephone | 5418681761 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA REGISTRATION | FB3053319 | 01 | |
| OR | 500642718 | 05 | |
| NCPDP | 3844176 | 01 | |
| OR | STATE PHARMACY LICENSE | RP-0002691-CS | 01 |
| Other Name | Type Code |
|---|---|
| Bi-Mart Pharmacy #683 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 1891204277 | Bi-mart Corporation | Pharmacy | 1277 E Deer Flat Rd, Kuna, ID 83634-1337 | 2017-09-28 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1649693342 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1980 Main Street, Sweet Home, OR 97386 | 2014-01-31 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1831378272 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2221 1st St., Cheney, WA 99004-2049 | 2007-11-02 |
| 1508941907 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 150 Melton Rd, Creswell, OR 97426-9453 | 2006-10-25 |
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1649203902 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2030 River Rd, Eugene, OR 97404-2504 | 2006-07-09 |
| 1003849365 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 2272 Santiam Hwy Se, Albany, OR 97322-5205 | 2006-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BI-MART CORPORATION | 220 Seneca Rd, Eugene, OR 97402 |
| Oregon Corporations, Companies and Business Names | BI-MART CORPORATION | 220 S Seneca Rd, Eugene, OR 97402 |
| Street Address |
248 WHARF STREET |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| 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 |
|---|---|---|---|---|
| 1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
| 1346850641 | Credena Health LLC | Pharmacy | 1510 Division St Ste 110, Oregon City, OR 97045-1572 | 2020-08-03 |
| 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 |
| 1467090183 | Mosaic Medical | Pharmacy | 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 | 2019-12-12 |
| 1598302119 | Beacon Health Care Solutions Incorporated | Pharmacy | 2790 Broadway Ave, North Bend, OR 97459-2216 | 2019-12-02 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 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.