HOLLYWOOD PHARMACY INC (NPI# 1497990097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497990097 |
| Entity Type | Organization |
| Organization Name | HOLLYWOOD PHARMACY INC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
1890 Capitol St Ne Salem OR 97301-7859 |
| Practice Telephone | 5033644436 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | SANDRA KASPRZYK (OWNER) |
| Authorized Official Telephone | 5033644436 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 292935 | 05 |
| Other Name | Type Code |
|---|---|
| Medicine Shoppe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869448 | Hollywood Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 13148 W Dixie Hwy, North Miami, FL 33161-4131 | 2007-01-23 |
| 1982772786 | Hollywood Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1890 Capitol St Ne, Salem, OR 97301-7859 | 2006-12-01 |
| 1316182959 | Hollywood Pharmacy Inc | Pharmacy | 1890 Capitol St Ne, Salem, OR 97301-7859 | 2008-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HOLLYWOOD PHARMACY INCORPORATED | 1890 Capitol St Ne, Salem, OR 97303 |
| Street Address |
1890 CAPITOL ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-7859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982772786 | Hollywood Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1890 Capitol St Ne, Salem, OR 97301-7859 | 2006-12-01 |
| 1316182959 | Hollywood Pharmacy Inc | Pharmacy | 1890 Capitol St Ne, Salem, OR 97301-7859 | 2008-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815014 | Matthew Rumsey | Durable Medical Equipment & Medical Supplies | 869 E 960 S, Salem, UT 84653-5758 | 2020-09-15 |
| 1790268464 | Spinal Med, Inc. | Durable Medical Equipment & Medical Supplies | 4676 Commercial St Se Ste 381, Salem, OR 97302-1902 | 2018-09-10 |
| 1649791708 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 601 S Main St Ste 106, Salem, IN 47167-1057 | 2017-06-29 |
| 1205380474 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1309 E Hackberry St, Salem, IN 47167-9604 | 2016-08-05 |
| 1417400052 | Cascade Sleep Supply, LLC. | Durable Medical Equipment & Medical Supplies | 1500 Liberty St Se Ste 170, Salem, OR 97302-4386 | 2016-08-01 |
| 1194150599 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 5 Hampstead Rd, Salem, NH 03079-2404 | 2013-09-05 |
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 1992066724 | Trustcare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 117 Goodwin Ave, Salem, VA 24153-3227 | 2012-06-07 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| 1104127240 | Lindberg-turner Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 315 Mission St Se Ste 100, Salem, OR 97302-6231 | 2010-11-05 |
| Find all providers in SALEM | ||||
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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.