LODESTAR COLLABORATIVE CARE LLC NPI 1083552525

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1083552525 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code 2 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Employer Identification Number EIN Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name Legal Business Name LODESTAR COLLABORATIVE CARE LLC The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Line Business Practice Location Address 19699 SUN CIR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name WEST LINN The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name OR The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code 970681913 The code designating the provider's gender if the provider is a person.
Provider Business Practice Location Address Country Code If outside U S US The code designating the provider's gender if the provider is a person.
Provider Business Practice Location Address Telephone Number 7206482949 The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date 3/24/2026 Other last name by which the provider being identified is or has been known.
Last Update Date 3/24/2026 Other last name by which the provider being identified is or has been known.
Authorized Official Last Name SUNG The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name HYOJIN The last name of the provider. If the provider is an individual, this is the legal name.
Authorized Official Title or Position OWNER/ LEAD PHARMACIST The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Authorized Official Telephone Number 7206482949 The middle name of the provider, if the provider is an individual.
Healthcare Provider Taxonomy Code 1 1835P0018X The last name of the provider. If the provider is an individual, this is the legal name.
Healthcare Provider Primary Taxonomy Switch 1 Y The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Is Organization Subpart N Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Authorized Official Credential Text PHARMD The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
NPI Certification Date 3/24/2026 The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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