GOOD SHEPHERD MEDICAL SERVICE CORP (NPI# 1598831257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598831257 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD MEDICAL SERVICE CORP |
| Other Organization Name | GOOD SHEPHERD CLINIC PHARMACY |
| Practice Address |
610 Nw 11th St Ste E04 Hermiston OR 97838-6601 |
| Practice Telephone | 5416673652 |
| Practice Fax Number | 5416673649 |
| Mailing Telephone | 5416673652 |
| Mailing Fax Number | 5416673649 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-09-17 |
| Authorized Official Name | JOHN ADAMS (DIR OF PHCY SVCS) |
| Authorized Official Telephone | 5416673647 |
| Authorized Official Credential | RPH MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP0001660CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078900 | 01 | |
| OR | 092850 | 05 |
| Other Name | Type Code |
|---|---|
| GOOD SHEPHERD CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SHEPHERD MEDICAL SERVICE CORP. | 610 Nw 11th, Hermiston, OR 97838 |
| Street Address |
610 NW 11TH ST STE E04 |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147293 | John Eric Adams | Pharmacist | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2006-01-04 |
| 1407491913 | Marah Rankins | Dietitian, Registered | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-11-08 |
| 1225591787 | Linda Joan Cornwell | Nurse Practitioner | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-04-11 |
| 1700349404 | Chris Dinardo | Physician Assistant | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-04-09 |
| 1831662600 | Sarah Boening | Speech-Language Pathologist | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-01-04 |
| 1255807145 | Rachel Marie Marsh | Dietitian, Registered | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2018-10-17 |
| 1649784612 | Trux French | Pharmacist | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-11-28 |
| 1649783176 | Joseph Justus Stanger | Registered Nurse | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-11-06 |
| 1912420084 | Kara Hayden | Student in an Organized Health Care Education/Training Program | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-07-20 |
| 1356886063 | Rachel Tate | Dietitian, Registered | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| 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 |
|---|---|---|---|---|
| 1285290924 | Yakima Valley Farm Workers Clinic | Pharmacy | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2019-05-17 |
| 1063595726 | Mullay Enterprises, Inc. | Pharmacy | 114 E Main St, Hermiston, OR 97838-1838 | 2006-10-24 |
| 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 |
| 1467090183 | Mosaic Medical | Pharmacy | 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 | 2019-12-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.