SENIOR PHARMACY LLC NPI 1942257043

NPI Information

NPI: 1942257043
Provider Name: SENIOR PHARMACY, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
28717 GRUMMAN DR
EUGENE, OR
ZIP 97402
Phone: (541) 607-2000
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SENIOR PHARMACY, LLC is an assisted living facility in Eugene, OR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SENIOR PHARMACY, LLC NPI is 1942257043. The provider is registered as an organization entity type.

The provider's business location address is:

28717 GRUMMAN DR
EUGENE, OR
ZIP 97402-542
Phone: (541) 607-2000
Fax: (541) 284-8232

The provider's authorized official is Scott Berger .
The authorized official title is Director, Business Operations and has the following contact phone number (541) 607-2000.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		RP-0002006-CS	OREGON	Yes
2	314000000X	Skilled Nursing Facility		IP-0001818-CS	OREGON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3814034	OTHER	OREGON	NCPDP
2	227136	MEDICAID	OREGON
3	227137	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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