- Practice location
- 12250 SW Canyon RD, Beaverton, OR 97005-2116
- Phone
- 503-644-2101
- Fax
- —
- Last updated
- August 29, 2018
Beaverton Pharmacy INC is a healthcare organization based in Beaverton, OR. Beaverton Pharmacy INC practices in Beaverton, OR. The NPI Number for Beaverton Pharmacy INC is 1639651490 and holds a License No. RP-0000129-CS (OR). The current practice location address for Beaverton Pharmacy INC is 12250 SW Canyon RD, Beaverton, OR 97005-2116 and can be reached out via phone at 503-644-2101.
Provider Profile Details
- NPI Number
- 1639651490
- Provider Name
- Beaverton Pharmacy INC
- Provider Entity Type
- Organization
- Address
- 12250 SW Canyon RD, Beaverton, OR 97005-2116
- Phone Number
- 503-644-2101
- Primary Taxonomy
- Pharmacy, Long Term Care Pharmacy · 3336L0003X
- Organization Subpart
- Yes
- Parent Organization
- Beaverton Pharmacy INC
- Authorized Official
- Thomas Wade Irby, RPH · President · 503-644-2101
- Other Names
- Beaverton Pharmacy (Doing Business As)
- Provider Enumeration Date
- August 29, 2018
- Last Update Date
- August 29, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12250 SW Canyon RD
Beaverton, OR 97005-2116 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-2116
- Phone Number
- 503-644-2101
Provider Business Mailing Address Details
- Address
- 12250 SW Canyon RD
Beaverton, OR 97005-2116 - City
- Beaverton
- State
- OR
- Zip
- 97005-2116
- Phone Number
- 503-644-2101
License Information
- License Number
- RP-0000129-CS
- License State
- OR
- Taxonomy
- Pharmacy, Long Term Care Pharmacy · 3336L0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beaverton Pharmacy INC?
The NPI number of Beaverton Pharmacy INC is 1639651490. It was assigned on August 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Beaverton Pharmacy INC?
Beaverton Pharmacy INC is registered under the primary taxonomy Pharmacy, Long Term Care Pharmacy (code 3336L0003X), licensed in OR under license number RP-0000129-CS.
Where does Beaverton Pharmacy INC practice?
The practice location is 12250 SW Canyon RD, Beaverton, OR 97005-2116. The office can be reached at 503-644-2101 (phone).
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 1639651490 directly on the NPPES registry website.