Provider Type Icon

PHARMBLUE OREGON LLC NPI 1811349434


NPI Information

NPI: 1811349434
Provider Name: PHARMBLUE OREGON LLC

Doing Business As: PHARMBLUE OREGON LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
140 S HOLLY ST
SUITE 1131
MEDFORD, OR
ZIP 97501
Phone: (800) 967-6816
Get Directions

PHARMBLUE OREGON LLC is a long term care pharmacy pharmacy in Medford, OR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PHARMBLUE OREGON LLC NPI is 1811349434. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmblue Oregon Llc.

The provider's business location address is:

140 S HOLLY ST
SUITE 1131
MEDFORD, OR
ZIP 97501-113
Phone: (800) 967-6816
Fax: (855) 570-4895

The provider's authorized official is Michael Nelson .
The authorized official title is Ceo and has the following contact phone number (724) 779-4720.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 3/23/2017.


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
23336S0011XPharmacySpecialty PharmacyNo
3333600000XPharmacyNo
43336L0003XPharmacyLong Term Care PharmacyRP-0003221-CSOREGONYes

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
11811349434MEDICAIDOREGON
22160991OTHERPK

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

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.