HAGGEN OPCO NORTH LLC (NPI# 1366499824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366499824 |
| Entity Type | Organization |
| Organization Name | HAGGEN OPCO NORTH LLC |
| Other Organization Name | HAGGEN PHARMACY #2074 |
| Practice Address |
14300 Sw Barrow Rd Tigard OR 97223 |
| Mailing Address |
2211 Rimland Dr Ste 300 Bellingham WA 98226-5664 |
| Practice Telephone | 5035904697 |
| Practice Fax Number | 5035903804 |
| Mailing Telephone | 3607338720 |
| Mailing Fax Number | 3607526437 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | GAETANO DIPASQUA (CORPORATE SENIOR VICE PRESIDENT, PH) |
| Authorized Official Telephone | 3606508204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0001617 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2151119 | 01 |
| Other Name | Type Code |
|---|---|
| Haggen Pharmacy #2074 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467658864 | Haggen Opco North LLC | Pharmacy | 61155 S Hwy 97, Bend, OR 97702-2523 | 2007-06-22 |
| 1013964477 | Haggen Opco North LLC | Pharmacy | 17520 State Route 9 Se, Snohomish, WA 98296-8320 | 2006-05-30 |
| 1548216542 | Haggen Opco North LLC | Pharmacy | 1675 W 18th Ave, Eugene, OR 97402-3814 | 2006-05-25 |
| 1457307456 | Haggen Opco North LLC | Pharmacy | 3075 Hilyard St, Eugene, OR 97405-3719 | 2006-05-25 |
| 1679529291 | Haggen Opco North LLC | Durable Medical Equipment & Medical Supplies | 1128 N Miller St, Wenatchee, WA 98801-1541 | 2006-05-25 |
| 1386690204 | Haggen Opco North LLC | Pharmacy | 450 N Wilbur Ave, Walla Walla, WA 99362-2254 | 2006-05-25 |
| 1154377786 | Haggen Opco North LLC | Pharmacy | 3520 Pacific Ave Se, Olympia, WA 98501-2121 | 2006-05-25 |
| 1972559979 | Haggen Opco North LLC | Pharmacy | 16199 Boones Ferry Rd, Lake Oswego, OR 97035-4201 | 2006-05-25 |
| 1063468064 | Haggen Opco North LLC | Pharmacy | 1690 Sw Allen Creek Rd, Grants Pass, OR 97527-5559 | 2006-05-25 |
| 1851347876 | Haggen Opco North LLC | Pharmacy | 8611 Steilacoom Blvd Sw, Lakewood, WA 98498-4716 | 2006-05-25 |
| Street Address |
14300 SW BARROW RD |
| City | TIGARD |
| State | OR |
| Zip Code | 97223 |
| 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 | 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 |
|---|---|---|---|---|
| 1922330828 | Providence Health & Services Oregon | Pharmacy | 18040 Sw Lower Boones Ferry Rd Ste 104, Tigard, OR 97224-7259 | 2010-02-03 |
| 1851401483 | Costco Wholesale Corporation | Pharmacy | 7855 Sw Dartmouth St, Tigard, OR 97223 | 2006-08-30 |
| 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.