- Practice location
- 5920 NE Martin Luther King Blvd, Portland, OR 97211-3120
- Phone
- 503-288-3272
- Fax
- 503-528-0587
- Last updated
- July 24, 2024
1918 Winter Street Operating Co LLC is a healthcare organization based in Portland, OR. 1918 Winter Street Operating Co LLC practices in Portland, OR. The NPI Number for 1918 Winter Street Operating Co LLC is 1255102794. The current practice location address for 1918 Winter Street Operating Co LLC is 5920 NE Martin Luther King Blvd, Portland, OR 97211-3120 and can be reached out via phone at 503-288-3272 and via fax at 503-528-0587.
Provider Profile Details
- NPI Number
- 1255102794
- Provider Name
- 1918 Winter Street Operating Co LLC
- Provider Entity Type
- Organization
- Address
- 5920 NE Martin Luther King Blvd, Portland, OR 97211-3120
- Phone Number
- 503-288-3272
- Fax Number
- 503-528-0587
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kevin Mcnamara · Authorized Person · 603-354-4619
- Other Names
- Safeway Pharmacy #0509 (Doing Business As)
- Provider Enumeration Date
- January 12, 2024
- Last Update Date
- July 24, 2024
- Certification Date
- January 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5920 NE Martin Luther King Blvd
Portland, OR 97211-3120 - City
- Portland
- State
- Oregon
- Zip
- 97211-3120
- Phone Number
- 503-288-3272
- Fax Number
- 503-528-0587
Provider Business Mailing Address Details
- Address
- 7 Corporate Dr
Keene, NH 03431-5042 - City
- Keene
- State
- NH
- Zip
- 03431-5042
- Phone Number
- 603-354-7000
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Portland, OR
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Frequently Asked Questions
What is the NPI number of 1918 Winter Street Operating Co LLC?
The NPI number of 1918 Winter Street Operating Co LLC is 1255102794. It was assigned on January 12, 2024 and is currently active in the NPPES registry.
What is the specialty of 1918 Winter Street Operating Co LLC?
1918 Winter Street Operating Co LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).
Where does 1918 Winter Street Operating Co LLC practice?
The practice location is 5920 NE Martin Luther King Blvd, Portland, OR 97211-3120. The office can be reached at 503-288-3272 (phone) or 503-528-0587 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255102794 directly on the NPPES registry website.