ELLINGSON'S INC. (NPI# 1780769398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780769398 |
Entity Type | Organization |
Organization Name | ELLINGSON'S INC. |
Other Organization Name | ELLINGSON'S PHARMACY |
Practice Address |
6620 Ne 79th Ct Suite 1 Portland OR 97218-2862 |
Practice Telephone | 5032573373 |
Practice Fax Number | 5034089041 |
Mailing Telephone | 5032573373 |
Mailing Fax Number | 5034089041 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MARK VICTOR ELLINGSON (OWNER) |
Authorized Official Telephone | 5032573373 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | RP-0000952-CS | OR | Suppliers |
Other Name | Type Code |
---|---|
Ellingson's Pharmacy | Doing Business As Name - Organization |
Street Address |
6620 NE 79TH CT SUITE 1 |
City | PORTLAND |
State | OR |
Zip Code | 97218-2862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
Find all providers in zip 97218 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447725502 | Medsavvy, Inc | Pharmacy | 1621 Sw First Ave, Portland, OR 97201-5713 | 2018-10-04 |
1790294965 | Oregon Health & Science University | Pharmacy | 707 Sw Gaines St Rm 1133, Portland, OR 97239-2901 | 2017-09-20 |
1144767427 | Prestige Professional Pharmacy | Pharmacy | 11723 Ne Glisan St, Portland, OR 97220-2141 | 2017-01-25 |
1700321825 | Legacy Emanuel Hospital and Health Center | Pharmacy | Unity Center for Behavioral Health, 1225 Ne 2nd St, Portland, OR 97232 | 2016-12-28 |
1972908077 | Zoom Care PC | Pharmacy | 1455 Nw Irving St Ste 500, Portland, OR 97209-2277 | 2014-10-31 |
1275946428 | Rite Aid | Pharmacy | 11190 Sw Barnes Dr, Portland, OR 97225 | 2014-06-05 |
1033482385 | Strategic Pharmaceutical Solutions Inc | Pharmacy | 17014 Ne Sandy Blvd, Portland, OR 97230-5074 | 2012-02-17 |
1811212798 | Luke-dorf, Inc. | Pharmacy | 11349 Ne Sandy Blvd., Portland, OR 97220-1461 | 2010-04-02 |
1417100447 | Procare Pharmacy, L.L.C. | Pharmacy | 141 Preble St, Portland, ME 04101-2440 | 2008-11-04 |
1811140841 | Coastal Pharmacy LLC | Pharmacy | 29 Marginal Way, Suite 4, Portland, ME 04101-1914 | 2008-11-04 |
Find all providers in PORTLAND |
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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.