CENTRAL PHARMACY (OREGON DEPARTMENT OF CORRECTIONS) (NPI# 1619520863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619520863 |
| Entity Type | Organization |
| Organization Name | CENTRAL PHARMACY (OREGON DEPARTMENT OF CORRECTIONS) |
| Practice Address |
2757 22nd St Se Salem OR 97302-1553 |
| Mailing Address |
88 Sw 3rd Ave Ontario OR 97914-2722 |
| Practice Telephone | 5033785569 |
| Mailing Telephone | 5039866967 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | MR. ROB NUTT (CHIEF PHARMACY OFFICER) |
| Authorized Official Telephone | 5039866967 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| ODOC | Other Name - Individual/Organization |
| Oregon Department of Corrections | Other Name - Individual/Organization |
| Street Address |
2757 22ND ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710359476 | Albert Folsom | Pharmacist | 2757 22nd St Se, Salem, OR 97302-1553 | 2015-10-21 |
| 1437510922 | Oregon Dept. of Corrections | Custodial Care Facility | 2757 22nd St Se, Salem, OR 97302-1553 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1366836041 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-03-20 |
| 1033202759 | Salem Hospital | Pharmacy | 875 Oak St Se, Com Pharmacy, Salem, OR 97301-3975 | 2006-10-02 |
| 1275637910 | Dhs/office of Financial Services | Pharmacy | 2600 Center St Ne, Salem, OR 97301-2669 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164780532 | University Compounders LLC | Pharmacy | 9150 Sw Pioneer Ct, Wilsonville, OR 97070-9623 | 2012-04-24 |
| 1770713224 | Oregon Health & Science University | Pharmacy | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008-8179 | 2009-07-17 |
| 1053454645 | Oregon Health and Science University | Pharmacy | 700 Sw Campus Dr Ste 7480, Portland, OR 97239-3107 | 2007-02-14 |
| 1326158585 | Malheur Drug, Inc | Pharmacy | 198 A St W, Vale, OR 97918-1302 | 2006-08-30 |
| 1497713739 | Genoa Healthcare, LLC | Pharmacy | 529 W Centennial Blvd, Springfield, OR 97477-2804 | 2006-05-03 |
| 1275922239 | Oregon State Hospital - Junction City Campus | Pharmacy | 29398 Recovery Way, Junction City, OR 97448 | 2015-01-14 |
| 1740603646 | Silverton Hospital Pharmacy | Pharmacy | 342 Fairview St, Silverton, OR 97381-1917 | 2014-01-28 |
| 1801230529 | Kaiser Foundation Hospitals | Pharmacy | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2013-04-24 |
| 1427259498 | Samaritan North Lincoln Hospital | Pharmacy | 3043 Ne 28th St, Lincoln City, OR 97367-4518 | 2007-05-29 |
| 1003027624 | Samaritan Pacific Health Services Inc | Pharmacy | 930 Sw Abbey St, Newport, OR 97365-4820 | 2007-05-25 |
| 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.