GENEVA WOODS PHARMACY WASHINGTON, LLC (NPI# 1831464726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831464726 |
| Entity Type | Organization |
| Organization Name | GENEVA WOODS PHARMACY WASHINGTON, LLC |
| Other Organization Name | GENEVA WOODS PHARMACY 48546 |
| Practice Address |
16250 Se Mcloughlin Blvd Milwaukie OR 97267-4657 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5036579422 |
| Practice Fax Number | 5036560278 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | OR | Suppliers | |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NCPDP | 3844190 | 01 |
| OR | 500643190 | 05 | |
| WA | 2049092 | 05 | |
| OR | MEDICARE PART B - MASS IMMUNIZATIONS ROSTER BILLER | R184989 | 01 |
| Other Name | Type Code |
|---|---|
| Geneva Woods Pharmacy 48546 | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16246 Se Mcloughlin Blvd, Milwaukie, OR 972674657 | 5036579422 | 5036560278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467478222 | Geneva Woods Pharmacy Washington, LLC | Pharmacy | 3808 N Sullivan Rd Bldg N-15, Ste 104, Spokane Valley, WA 99216-1608 | 2006-07-14 |
| 1942230131 | Geneva Woods Pharmacy Washington, LLC | Pharmacy | 6600 Ne 112th Ct, Suite 103, Vancouver, WA 98662-5494 | 2006-07-03 |
| 1184986341 | Geneva Woods Pharmacy Washington, LLC | Durable Medical Equipment & Medical Supplies | 1605 S 93rd St Ste Eb, Seattle, WA 98108-5112 | 2012-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GENEVA WOODS PHARMACY WASHINGTON, LLC | 900 Omnicare Center, 201 E 4th St, Cincinnati, OH 45202 |
| Washington State Corporations | GENEVA WOODS PHARMACY WASHINGTON, LLC | 6600 Ne 112th Ct #103, Vancouver, WA 98662 |
| Street Address |
16250 SE MCLOUGHLIN BLVD |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97267-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
| 1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
| 1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
| 1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
| 1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
| 1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
| 1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| Find all providers in zip 97267 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1912923434 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin Blvd, Milwaukie, OR 97267-4657 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440864 | Olson Pharmacy Services | Pharmacy | 617 Monroe St, Oregon City, OR 97045-2336 | 2013-08-03 |
| 1861773798 | Grants Pass Pharmacy, Inc. | Pharmacy | 414 Sw 6th St., Grants Pass, OR 97526-2810 | 2011-09-06 |
| 1003051558 | Howard's Pharmacy Inc. | Pharmacy | 101 N F St, Lakeview, OR 97630-1529 | 2008-12-12 |
| 1558448225 | Pill Box Drugs Inc | Pharmacy | 635 N Arrowleaf Trl, Sisters, OR 97759 | 2006-11-01 |
| 1881776722 | Quisenberry Pharmacies Inc. | Pharmacy | 150 Liberty St Se, Salem, OR 97301-3506 | 2006-10-19 |
| 1093808198 | Pill Box Drugs Inc | Pharmacy | 906 Nw Kings Blvd, Corvallis, OR 97330 | 2006-10-02 |
| 1871690719 | Pill Box Drugs Inc | Pharmacy | 910 Nw Kings Blvd, Corvallis, OR 97330-2505 | 2006-09-20 |
| 1952405664 | Dept. of Human Srvcs/office of Fin. Srvcs Dba Irs/eopc/eotc/osh/osh-p | Pharmacy | 2600 Westgate, Pendleton, OR 97801-9604 | 2006-09-12 |
| 1780795765 | Evergreen Pharmaceutical, LLC | Pharmacy | 259 E Barnett Rd Ste L, Medford, OR 97501-7953 | 2006-08-31 |
| 1235240391 | Evergreen Pharmaceutical, LLC | Pharmacy | 11933 Ne Glenn Widing Dr, Portland, OR 97220-9099 | 2006-08-31 |
| 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.