NPI 1245393016 · live from the CMS NPI Registry
Assured Pharmacy Northwest INC.
Pharmacy, Community/Retail Pharmacy in Portland, OR. National Provider Identifier 1245393016, active.
NPI record
| NPI | 1245393016 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 3822 Se Powell Blvd, Portland, OR 97202 |
| Practice phone | 503-238-4540 |
| Mailing address | 17935 Sky Park Cir Ste F, Irvine, CA 92614 |
| Enumerated | December 19, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Frank Robles, Contracting Administrator |
| Other names | Assured Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP-0002791 CS (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.