Active NPIOrganization

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy in Portland, Oregon

NPI Number1548018138
Practice location
3930 SE Powell Blvd, Portland, OR 97202-1722
Fax
503-772-4448
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 1548018138. The current practice location address is 3930 SE Powell Blvd, Portland, OR 97202-1722 and the office can be reached by phone at 503-772-4445 and by fax at 503-772-4448. The NPI was assigned on May 8, 2024 and the record was last updated in NPPES on July 24, 2024.

●Provider Profile Details

NPI Number
1548018138
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
May 8, 2024
Last Update Date
July 24, 2024
Certification Date
May 1, 2024
NPI Status
Active
Other Names
Safeway Pharmacy #1627 (Doing Business As)

◉Business Practice Location Address

Address
3930 SE Powell Blvd
Portland, OR 97202-1722
State
Oregon
ZIP
97202-1722
Country
US
Phone Number
503-772-4445
Fax Number
503-772-4448

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✉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

TaxonomyCodePrimaryLicenseState
Durable Medical Equipment & Medical Supplies332B00000XNo——
Pharmacy, Community/Retail Pharmacy3336C0003XYes——

#Other Provider Identifiers

No legacy or other 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 1918 Winter Street Operating Co LLC?

The NPI number of 1918 Winter Street Operating Co LLC is 1548018138. It was assigned on May 8, 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 3930 SE Powell Blvd, Portland, OR 97202-1722. The office can be reached at 503-772-4445 (phone) or 503-772-4448 (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 1548018138 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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