PACIFIC COMPOUNDS PHARMACY LLC (NPI# 1578785119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578785119 |
| Entity Type | Organization |
| Organization Name | PACIFIC COMPOUNDS PHARMACY LLC |
| Other Organization Name | PACIFIC COMPOUNDS PHARMACY, LLC |
| Practice Address |
327 Se 3rd Ave Hillsboro OR 97123-4001 |
| Practice Telephone | 5036403080 |
| Practice Fax Number | 5036403208 |
| Mailing Telephone | 5036403080 |
| Mailing Fax Number | 5036403208 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | ADAM GUSTAFSON (MANAGER) |
| Authorized Official Telephone | 5036403080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
RP-0001904-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3814402 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Compounds Pharmacy, LLC | Doing Business As Name - Organization |
| Street Address |
327 SE 3RD AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619348687 | Mark Harperlac Arouh | Acupuncturist | 327 Se 3rd Ave, Hillsboro, OR 97123-4001 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1922536606 | Pharmacy Acquisition Co., LLC | Pharmacy | 1286 Se Holgate Blvd # C-2, Portland, OR 97202-5053 | 2017-05-25 |
| 1023483823 | Central Oregon Pharmacy and Compounding | Pharmacy | 655 Nw Greenwood Ave Ste 1, Redmond, OR 97756-1672 | 2015-12-04 |
| 1124423793 | Cascade Compounding Center LLC | Pharmacy | 19550 Amber Meadow Dr, Suite 170, Bend, OR 97702-3525 | 2014-10-25 |
| 1841606662 | Redmond Long Term Care Pharmacy LLC | Pharmacy | 424 Nw 5th St Ste A, Redmond, OR 97756-1627 | 2014-07-02 |
| 1114274289 | Precision Compounds, LLC | Pharmacy | 9363 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3360 | 2012-08-08 |
| 1922284751 | Oregon Compounding Centers, Inc. | Pharmacy | 8560 Sw Salish Ln Ste 100, Wilsonville, OR 97070-9625 | 2008-01-10 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| 1356555460 | Highland Park Pharmacy LLC | Pharmacy | 424 Nw 5th St, Redmond, OR 97756 | 2007-05-09 |
| 1720122427 | Talent Health Rx Inc | Pharmacy | 103 Talent Ave, 223, Talent, OR 97540 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PACIFIC COMPOUNDS PHARMACY LLC.
| 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.