CVS PHARMACY #17551 – NPI #1306078035
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CVS PHARMACY #17551 is a pharmacy located in PORTLAND, OR. NPPES has assigned the NPI number 1306078035 to CVS PHARMACY #17551 on August 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #17551” is a dba name, the actual legal business name for this organization is OREGON CVS PHARMACY LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 10 years ago on Nov 30, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CVS PHARMACY #17551 below.

NPI Profile for
OREGON CVS PHARMACY LLC

NPI Number
1306078035
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OREGON CVS PHARMACY LLC
Doing Business As (dba): CVS PHARMACY #17551
Primary location
9401 NE CASCADES PKWY
PORTLAND, OR 97220-6824
Phone: (971) 230-1931 Fax: (971) 230-1941
Mailing address
1 CVS DR
BOX 1075
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax:
Organization Subpart
No
Authorized Official
SUSAN COLBERT
SR. DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751
Updated
Identifiers

Identifiers for CVS PHARMACY #17551

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2121412
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
OR RP-0002561
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.