OREGON CVS PHARMACY LLC NPI 1770692055

NPI Details

OREGON CVS PHARMACY LLC is a pharmacy in Beaverton, 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 1770692055. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

12575 SOUTHWEST WALKER ROAD
BEAVERTON, OR
ZIP 97005-306
Phone: (503) 646-2423

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

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/30/2025.

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: