OREGON CVS PHARMACY LLC (NPI# 1548282262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548282262 |
| Entity Type | Organization |
| Organization Name | OREGON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16154 |
| Practice Address |
3790 Center St Ne Salem OR 97301-2905 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5035884433 |
| Practice Fax Number | 9712404863 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | RP-0002096 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2079249 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16154 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
| 1588008312 | Oregon Cvs Pharmacy LLC | Pharmacy | 939 Sw Morrison St, Portland, OR 97205-2727 | 2013-04-23 |
| 1467708214 | Oregon Cvs Pharmacy LLC | Pharmacy | 1555 N Tomahawk Island Dr, Portland, OR 97217-7912 | 2012-07-31 |
| 1306078035 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9401 Ne Cascades Pkwy, Portland, OR 97220-6824 | 2009-08-13 |
| 1619125614 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9000 Se Sunnyside Rd, Clackamas, OR 97015-9758 | 2008-09-03 |
| 1194747816 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2750 Gateway St, Springfield, OR 97477-1172 | 2006-07-24 |
| 1992727614 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2255 14th Ave Se, Albany, OR 97322-8513 | 2006-07-24 |
| Street Address |
3790 CENTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366082273 | Anita Lee | Pharmacist | 3790 Center St Ne, Salem, OR 97301-2905 | 2020-01-08 |
| 1740612415 | Andrew David Howard | Pharmacist | 3790 Center St Ne, T-0608, Salem, OR 97301-2905 | 2013-08-05 |
| 1245525740 | Kristy Norby | Pharmacist | 3790 Center St Ne, T-0608, Salem, OR 97301-2905 | 2011-06-13 |
| 1871888446 | Aron Matthew Howe | Pharmacist | 3790 Center St Ne, Target Pharmacy Store T-0608, Salem, OR 97301-2905 | 2011-06-12 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275020521 | Chs, Inc | Pharmacy | 3737 W Main St Ste 106, Salem, VA 24153-2073 | 2018-04-21 |
| 1275811218 | Trinity Pharmacy LLC | Pharmacy | 396 E Burwell St, Salem, VA 24153-4329 | 2011-07-25 |
| 1134277130 | F H Wolken Inc | Pharmacy | 1136 E State St, Salem, OH 44460-2230 | 2007-01-08 |
| 1003972985 | J H Lease Drug Co | Pharmacy | 229 N Ellsworth Ave, Salem, OH 44460-2803 | 2006-12-28 |
| 1700972759 | Quisenberry Pharmacies Inc. | Pharmacy | 2345 Center St Ne, Salem, OR 97301-4464 | 2006-10-05 |
| 1467467308 | Marc Glassman Inc | Pharmacy | 2487 E State St, Salem, OH 44460-2586 | 2006-07-29 |
| 1073538773 | Kroger Limited Partnership I | Pharmacy | 1477 W Main St, Salem, VA 24153-3120 | 2006-07-13 |
| 1447284211 | Kroger Limited Partnership I | Pharmacy | 1925 Electric Rd, Salem, VA 24153-7424 | 2006-07-10 |
| 1952347817 | Fred Meyer Stores Inc | Pharmacy | 3740 Market St Ne, Salem, OR 97301-1826 | 2006-06-21 |
| 1154367019 | Fred Meyer Stores Inc | Pharmacy | 3450 Commercial St Se, Salem, OR 97302-4635 | 2006-06-21 |
| 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.