PHARMBLUE OREGON LLC NPI 1811349434

NPI Information

  • NPI: 1811349434
  • Provider Name: PHARMBLUE OREGON LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: PHARMBLUE OREGON LLC
  • Address: 140 S HOLLY ST
    SUITE 1131
    MEDFORD, OR
    ZIP 97501
  • Phone: (800) 967-6816

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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