PEACE HEALTH PHARMACY (NPI# 1811908668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811908668 |
| Entity Type | Organization |
| Organization Name | PEACE HEALTH PHARMACY |
| Other Organization Name | PEACE HEALTH PHARMACY HILYARD |
| Practice Address |
1200 Hilyard St Ste S-110 Eugene OR 97439-8112 |
| Practice Telephone | 5413497630 |
| Practice Fax Number | 5413497630 |
| Mailing Telephone | 5413497630 |
| Mailing Fax Number | 5413497632 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID LEGER-JEFFREY (PHARMICIST IN CHARGE) |
| Authorized Official Telephone | 5413497630 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
001133 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LIC # | 001133 | 01 |
| OR | 170419 | 05 | |
| DEA | BP5826221 | 01 |
| Other Name | Type Code |
|---|---|
| Peace Health Pharmacy Hilyard | Other Name - Individual/Organization |
| Street Address |
1200 HILYARD ST STE S-110 |
| City | EUGENE |
| State | OR |
| Zip Code | 97439-8112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275181 | Mattox L Purvis,jr. | Specialist | 1200 Hilyard St, Ste 470, Eugene, OR 97401-8107 | 2005-06-20 |
| 1184278814 | Nicole E Newall | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2019-07-31 |
| 1831665397 | Melody Celeste Kahane | Audiologist | 1200 Hilyard St, Eugene, OR 97401-8122 | 2018-10-22 |
| 1790285112 | Eleanor Flora Soleil | Peer Specialist | 1200 Hilyard St, Eugene, OR 97401-8122 | 2018-02-13 |
| 1730698572 | Yasmine Kahvaz | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-09-25 |
| 1720507650 | Alison N. Gerdts | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-09-12 |
| 1548788722 | Karen Ann Clark | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-09-07 |
| 1316477276 | Brett Bogyo Barnes | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2017-06-14 |
| 1306397666 | Shirley Ann Spencer | Counselor | 1200 Hilyard St, Eugene, OR 97401-8122 | 2016-10-20 |
| 1639528573 | Kimberly Lawrence | Counselor | 1200 Hilyard St, Suite 450, Eugene, OR 97401-8122 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1063040186 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 360 S Garden Way Ste 120, Eugene, OR 97401-8173 | 2020-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427346543 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5381 E Main St, Hillsboro, OR 97123-6447 | 2011-07-11 |
| 1922141415 | Oregon Health and Science University | Pharmacy | 515 Sw Campus Drive, Portland, OR 97239-3098 | 2007-02-14 |
| 1225190408 | Credena Health LLC | Pharmacy | 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 | 2006-12-14 |
| 1578630463 | Good Shepherd Health Care Systems | Pharmacy | 600 Nw 11th St Ste E04, Hermiston, OR 97838-8602 | 2006-11-29 |
| 1275548059 | Multnomah County Oregon | Pharmacy | 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 | 2006-07-30 |
| 1528073327 | Multnomah County Oregon | Pharmacy | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2006-07-30 |
| 1205841004 | Multnomah County | Pharmacy | 9000 N Lombard St Fl 2, Portland, OR 97203-3006 | 2006-07-30 |
| 1528073319 | Multnomah County | Pharmacy | 5329 Ne Martin L King Fl Jrblvd2, Portland, OR 97211-3237 | 2006-07-30 |
| 1346263340 | Oregon Health & Science University | Pharmacy | 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 | 2006-07-25 |
| 1295370377 | Oregon Adult Medicine PC | Pharmacy | 2330 Nw Flanders St Ste 201, Portland, OR 97210-3460 | 2019-11-12 |
| 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.