PROSTAR PHARMACY CONSULTANTS LLC (NPI# 1760564561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760564561 |
| Entity Type | Organization |
| Organization Name | PROSTAR PHARMACY CONSULTANTS LLC |
| Other Organization Name | MONACARE PHARMACY |
| Practice Address |
91320 Coburg Industrial Way Bldg 19 Coburg OR 97408 |
| Practice Telephone | 5416818117 |
| Practice Fax Number | 5416818164 |
| Mailing Telephone | 5416818117 |
| Mailing Fax Number | 5416818164 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MRS. VICTORIA L STARR (PHARMACIST) |
| Authorized Official Telephone | 5416818117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
RP0002261CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3842184 | 01 |
| Other Name | Type Code |
|---|---|
| MonaCare Pharmacy | Doing Business As Name - Organization |
| Street Address |
91320 COBURG INDUSTRIAL WAY BLDG 19 |
| City | COBURG |
| State | OR |
| Zip Code | 97408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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 |
|---|---|---|---|---|
| 1093142234 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1700 Ne 102nd Ave., Portland, OR 97220 | 2013-10-02 |
| 1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
| 1568418051 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 7705 Se Division St, Portland, OR 97206-1059 | 2006-05-26 |
| 1124462940 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2013-04-23 |
| 1972736932 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 11200 Sw Murray Scholls Pl, Beaverton, OR 97007-9702 | 2009-08-25 |
| 1467511832 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-12-08 |
| 1528002474 | Kaiser Foundation Health Plan Northwest | Pharmacy | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-06-15 |
| 1467491886 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2006-06-05 |
| 1699714063 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-06-04 |
| 1407893407 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-05-31 |
| 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.