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OREGON CVS PHARMACY LLC NPI 1588008312


NPI Information

NPI: 1588008312
Provider Name: OREGON CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #17640

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
939 SW MORRISON ST
PORTLAND, OR
ZIP 97205
Phone: (503) 290-5362
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OREGON CVS PHARMACY LLC is a pharmacy in Portland, OR. The provider is 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. OREGON CVS PHARMACY LLC NPI is 1588008312. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17640.

The provider's business location address is:

939 SW MORRISON ST
PORTLAND, OR
ZIP 97205-727
Phone: (503) 290-5362

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 11/18/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyRP-0002812OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17557560006MEDICARE NSC
22139960OTHERPK

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

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