Active NPI
Achterhof Healthcare Pharmacy, LLC
Doing business as MHP Medford
- Institutional Pharmacy
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- Legal business name
- ACHTERHOF HEALTHCARE PHARMACY, LLC
- Doing business as
- MHP Medford
- Practice address
- 3120 State St
Medford, OR 97504-8450 - Phone
- (866) 367-8701
- Fax
- (866) 367-8702
- NPI assigned
- Dec 21, 2023
- Organization subpart
- Yes
- Parent organization
- ACHTERHOF HEALTHCARE PHARMACY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall Klemm, RPH
- Title
- Ceo
- Phone
- (541) 744-1641
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | Primary |
Addresses
Primary practice location
3120 State St
Medford, OR 97504-8450
Mailing address
PO Box 2767
Eugene, OR 97402-0308
Phone (541) 744-1641
Other names 1
- MHP Medford
National Provider Directory
National Provider Directory- Part of
- Achterhof Healthcare Pharmacy LLC
Locations
3120 State St
Medford, OR 97504
Phone (541) 773-9222
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Managed Healthcare Pharmacy
- Pharmacy
- Eugene, OR
- NPI 1225022841
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Eugene, OR
- NPI 1912221441
-
- Pharmacist
- Eugene, OR
- NPI 1023507613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1003685819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2767",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020308",
"telephone_number": "541-744-1641",
"fax_number": "541-744-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 STATE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048450",
"telephone_number": "866-367-8701",
"fax_number": "866-367-8702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHTERHOF HEALTHCARE PHARMACY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACHTERHOF HEALTHCARE PHARMACY, LLC",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "KLEMM",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-744-1641",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MHP Medford",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.