1918 Winter Street Operating Co LLC
Pharmacy, Community/Retail Pharmacy in Portland, Oregon
1255102794- 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. The NPI number for 1918 Winter Street Operating Co LLC is 1255102794. The current practice location address is 5920 NE Martin Luther King Blvd, Portland, OR 97211-3120 and the office can be reached by phone at 503-288-3272 and by fax at 503-528-0587. The NPI was assigned on January 12, 2024 and the record was last updated in NPPES on July 24, 2024.
●Provider Profile Details
- NPI Number
- 1255102794
- Provider Name
- 1918 Winter Street Operating Co LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kevin Mcnamara · Authorized Person · 603-354-4619
- Enumeration Date
- January 12, 2024
- Last Update Date
- July 24, 2024
- Certification Date
- January 9, 2024
- NPI Status
- Active
- Other Names
- Safeway Pharmacy #0509 (Doing Business As)
◉Business Practice Location Address
- Address
- 5920 NE Martin Luther King Blvd
Portland, OR 97211-3120 - City
- Portland
- State
- Oregon
- ZIP
- 97211-3120
- Country
- US
- Phone Number
- 503-288-3272
- Fax Number
- 503-528-0587
✉Business Mailing Address
- Address
- 7 Corporate Dr
Keene, NH 03431-5042 - City
- Keene
- State
- NH
- ZIP
- 03431-5042
- Phone Number
- 603-354-7000
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | No | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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 at npiregistry.cms.hhs.gov.