AVITA DRUGS OREGON, LLC


Address: 2236 Se Belmont St Ste B, Portland, OR 97214-2817
Phone: 5033790370

AVITA DRUGS OREGON, LLC (NPI# 1588291645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588291645
Entity Type Organization
Organization Name AVITA DRUGS OREGON, LLC
Practice Address 2236 Se Belmont St Ste B
Portland
OR 97214-2817
Mailing Address 10604 Coursey Blvd
Baton Rouge
LA 70816-4015
Practice Telephone 5033790370
Mailing Telephone 7046417967
Enumeration Date 2020-03-26
Last Update Date 2020-03-26
Authorized Official Name ASHLEY ELLIS (CORPORATE COUNSEL)
Authorized Official Telephone 8039789068
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Avita Pharmacy Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names AVITA DRUGS OREGON, LLC 10604 Coursey Blvd, Baton Rouge, LA 70816

Office Location

Street Address 2236 SE BELMONT ST STE B
City PORTLAND
State OR
Zip Code 97214-2817

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1336772243 Alexandra Mcbryde Acupuncturist 959 Se Division St, #315, Portland, OR 97214 2020-02-19
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1639616436 Erin Elizabeth Weaver Acupuncturist 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 2017-01-31
1780126045 Katherine Aravamudan, Lpc, LLC Community/Behavioral Health 1312 E. Burnside Street, Portland, OR 97214 2016-11-17
1003358441 Michelle Jean Meadows Massage Therapist 2804 Se Lincoln St, Portland, OR 97214 2016-11-16
1629429311 Stephanie Tolentino Counselor 605 Se Cesar E Chavez Blvd., Portland, OR 97214 2016-06-24
1790141166 Marian Iris Dixon Massage Therapist 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 2016-01-14
1194194589 Lutheran Community Services Northwest Community/Behavioral Health 605 Se Cesar E Chavez Bld, Portland, OR 97214 2015-09-16
1497123566 Michele R. Stokes Specialist 2311 East Burnside B1, Portland, OR 97214 2015-09-08
Find all providers in zip 97214

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1649800186 A & S Pharmacy LLC Pharmacy 1660 Wildcat Dr, Portland, TX 78374-2830 2020-01-23
1508337577 Oregon Health & Science University Pharmacy 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 2018-12-17
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1538653654 Division Pharmacy Inc. Pharmacy 10918 Se Division St, Portland, OR 97266-1259 2018-06-21
1659755593 Portland Professional Pharmacy, LLC Pharmacy 11717 Ne Glisan St, Portland, OR 97220-2141 2015-07-09
1992194062 Professionl Pharmacy Pharmacy 10000 Se Main St Ste 201, Portland, OR 97216-2448 2015-01-13
1932597978 Pharmaca Integrative Pharmacy, Inc Pharmacy 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 2014-12-29
1023414588 Healthscripts of America - Portland, LLC Pharmacy 10305 Sw Parkway, Portland, OR 97225-5011 2014-11-11
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97214

Improve Information

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Dataset Information

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.

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