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GORDON'S PHARMACY AND GIFTS LLC NPI 1831236991


NPI Information

NPI: 1831236991
Provider Name: GORDON'S PHARMACY AND GIFTS LLC

Doing Business As: GORDON'S PHARMACY AND GIFTS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 38D2228038

Address:
314 SOUTH MAIN STREET
CANYONVILLE, OR
ZIP 97417
Phone: (541) 839-4452
Get Directions

GORDON'S PHARMACY AND GIFTS LLC is a community/retail pharmacy pharmacy in Canyonville, OR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GORDON'S PHARMACY AND GIFTS LLC NPI is 1831236991. The provider is registered as an organization entity type.
The provider Is Doing Business As Gordon's Pharmacy And Gifts.

The provider's business location address is:

314 SOUTH MAIN STREET
CANYONVILLE, OR
ZIP 97417-746
Phone: (541) 839-4452
Fax: (541) 839-4254

The provider's authorized official is David Allen Stevens .
The authorized official title is President and has the following contact phone number (541) 839-4452.

The CLIA number assigned to this NPI record is 38D2228038 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 12/2/2010.


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
1332B00000XDurable Medical Equipment & Medical SuppliesRP0000162CSOREGONNo
23336C0003XPharmacyCommunity/Retail PharmacyRP0000162CSOREGONYes

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
1R131773MEDICARE ID-TYPE UNSPECIFIEDMASS IMMUNIZATION
2274197MEDICAIDOREGON
33805655OTHERNCPDP NUMBER
4229336MEDICAIDOREGON

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: 5/5/2024

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