MOSAIC MEDICAL (NPI# 1467090183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467090183 |
| Entity Type | Organization |
| Organization Name | MOSAIC MEDICAL |
| Practice Address |
375 Nw Beaver St Ste 103 Prineville OR 97754-1802 |
| Practice Telephone | 5413833852 |
| Practice Fax Number | 5413831883 |
| Mailing Telephone | 5413833852 |
| Mailing Fax Number | 5413831883 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | STEVEN STRANG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5413833005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Mosaic Pharmacy - Prineville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124366570 | Mosaic Medical | Clinic/Center | 850 Sw 4th St, Suite 101, Madras, OR 97741-9628 | 2013-01-18 |
| 1205174653 | Mosaic Medical | Clinic/Center | 757 Ne 1st Street, Prineville, OR 97754-2003 | 2013-01-18 |
| 1083633184 | Mosaic Medical | Clinic/Center | 375 Nw Beaver Street, Suite 101, Prineville, OR 97754 | 2006-07-19 |
| 1184273757 | Mosaic Medical | Clinic/Center | 2965 Ne Conners Ave Ste 280, Bend, OR 97701-7753 | 2019-09-06 |
| 1992354567 | Mosaic Medical | Clinic/Center | 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2588 | 2019-09-06 |
| 1801445473 | Mosaic Medical | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2019-09-06 |
| 1457900011 | Mosaic Medical | Clinic/Center | 850 Sw 4th St Ste 101, Madras, OR 97741-9629 | 2019-09-06 |
| 1629627203 | Mosaic Medical | Clinic/Center | 375 Nw Beaver St Ste 101, Prineville, OR 97754-1802 | 2019-09-06 |
| 1528560091 | Mosaic Medical | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2018-03-01 |
| 1023523073 | Mosaic Medical | Clinic/Center | 2577 Ne Courtney Dr Ste 100, Bend, OR 97701-7638 | 2017-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC MEDICAL CENTER - MARYVILLE | 2016 S Main St, Maryville, MO 64468-2655 |
| Iowa Business Entities | MOSAIC MEDICAL CENTER - MARYVILLE | 2016 South Main, Maryville, MO 64468 |
| Oregon Corporations, Companies and Business Names | MOSAIC MEDICAL GROUP, LLC | 1290 Green Meadows Way, Ashland, OR 97520 |
| Colorado Business Entities | Mosaic Medical Massage, LLC | 1075 S. Yukon St., Unit 320, Lakewood, CO 80226 |
| Oregon Corporations, Companies and Business Names | MOSAIC MEDICAL PRODUCTS | 17300 Lake Haven Drive, Lake Oswego, OR 97035 |
| Oregon Corporations, Companies and Business Names | MOSAIC MEDICAL PRODUCTS LLC | 17300 Lake Haven Dr, Lake Oswego, OR 97035 |
| Street Address |
375 NW BEAVER ST STE 103 |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| 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 |
|---|---|---|---|---|
| 1629118229 | Christiansen, LLC | Pharmacy | 136 Ne 3rd St, Prineville, OR 97754-1915 | 2007-02-06 |
| 1346492683 | Hans Pharmacy Inc | Pharmacy | 136 Ne 3rd St, Prineville, OR 97754-1915 | 2008-10-17 |
| 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 |
| 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 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
Please comment or provide details below to improve the information on MOSAIC MEDICAL.
| 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.