Active NPI
Emerging Health, LLC
- Home Infusion Therapy Pharmacy
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- EMERGING HEALTH, LLC
- Practice address
- 16100 SW 72ND Ave
Portland, OR 97224-7745 - Phone
- (971) 290-2010
- NPI assigned
- Nov 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Johnson
- Title
- President
- Phone
- (971) 290-2015
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
16100 SW 72ND Ave
Portland, OR 97224-7745
Mailing address
16100 SW 72ND Ave
Portland, OR 97224-7745
Phone (971) 290-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210210002945 | OR | Part B Supplier - Pharmacy | 8820403561 |
1 other NPI on this enrollment Practice locations: Portland, OR; Eugene, OR |
| O20210813002606 | OR | DME Supplier - Pharmacy | 8820403561 | Practice locations: Portland, OR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Emerging Health | Epoetin|Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Emerging Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Eugene, OR
- NPI 1851167027
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Peacehealth Southwest Home Health
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
Member Of
Locations
16100 SW 72nd Ave
Tigard, OR 97224
Phone (503) 626-9436
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Home Infusion Therapy Pharmacy
- Eugene, OR
- NPI 1851167027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676937600000",
"number": "1023610326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 SW 72ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247745",
"telephone_number": "971-290-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 SW 72ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247745",
"telephone_number": "971-290-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGING HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-11",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "971-290-2015"
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Emerald Residential LLC
- Emergency and Acute Care Medical Company - Northwest, Inc.
- Emergency and Acute Care Medical Company - Northwest, Inc.
- Emergency Tooth Doctor Downtown,P.C.
- Emergency Tooth Doctor East, PC (Emergency Tooth Doctor East)
- Paula Emerick, LMFT
- Emeritus Corporation (Brookdale Park Place Tigard)
- Emeritus Corporation (Brookdale Oswego Springs Portland)
- Emeritus Corporation (Brookdale Sellwood)
- Emerson House
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.