WATERFALL COMMUNITY PHARMACY (NPI# 1346633476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346633476 |
| Entity Type | Organization |
| Organization Name | WATERFALL COMMUNITY PHARMACY |
| Other Organization Name | WATERFALL COMMUNITY HEALTH CENTER |
| Practice Address |
1890 Waite St Ste 1 North Bend OR 97459-1229 |
| Practice Telephone | 5417566232 |
| Mailing Telephone | 5417566232 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | ZANE E SMITH (PHARMACY MANAGER) |
| Authorized Official Telephone | 5417566232 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | WATERFALL COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
RP-0003048-CS | OR | Suppliers |
| Other Name | Type Code |
|---|---|
| Waterfall Community Health Center | Doing Business As Name - Organization |
| Street Address |
1890 WAITE ST STE 1 |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538341490 | Rhonda Knight | Registered Nurse | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2007-12-03 |
| 1013517390 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2020-10-27 |
| 1003445032 | Waterfall Clinic, Incorporated | Clinic/Center | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2020-04-02 |
| 1437654779 | Waterfall Clinic, Incorporated | Community/Behavioral Health | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2018-03-28 |
| 1720582315 | Amy Hinshaw | Nurse Practitioner | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2018-03-20 |
| 1851892509 | Waterfall Clinic Incorporated | Counselor | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2018-02-27 |
| 1255627253 | Debra Sue Guzman | Nurse Practitioner | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| 1922141415 | Oregon Health and Science University | Pharmacy | 515 Sw Campus Drive, Portland, OR 97239-3098 | 2007-02-14 |
| 1225190408 | Credena Health LLC | Pharmacy | 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 | 2006-12-14 |
| 1578630463 | Good Shepherd Health Care Systems | Pharmacy | 600 Nw 11th St Ste E04, Hermiston, OR 97838-8602 | 2006-11-29 |
| 1275548059 | Multnomah County Oregon | Pharmacy | 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 | 2006-07-30 |
| 1528073327 | Multnomah County Oregon | Pharmacy | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2006-07-30 |
| 1205841004 | Multnomah County | Pharmacy | 9000 N Lombard St Fl 2, Portland, OR 97203-3006 | 2006-07-30 |
| 1528073319 | Multnomah County | Pharmacy | 5329 Ne Martin L King Fl Jrblvd2, Portland, OR 97211-3237 | 2006-07-30 |
| 1346263340 | Oregon Health & Science University | Pharmacy | 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 | 2006-07-25 |
| 1063040186 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 360 S Garden Way Ste 120, Eugene, OR 97401-8173 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on WATERFALL COMMUNITY PHARMACY.
| 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.