Active NPI
Guardian Pharmacy of Oregon, LLC
Doing business as MHP Medford
- Long Term Care Pharmacy
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GUARDIAN PHARMACY OF OREGON, 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
- Oct 2, 2025
- Last updated
- Oct 2, 2025
- 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
- Randall Klemm
- Title
- President
- Phone
- (541) 744-1641
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
3120 State St
Medford, OR 97504-8450
Mailing address
3120 State St
Medford, OR 97504-8450
Phone (866) 367-8701
Other names 1
- MHP MEDFORD
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://managedhealthcarepharmacy.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260223001530 | OR | Part B Supplier - Pharmacy | 3577044122 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eugene, OR; Medford, OR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Managed Healthcare Pharmacy
- Long Term Care Pharmacy
- Eugene, OR
- NPI 1407720428
O20260223001530
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Pharmacy of Oregon LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Managed Healthcare Pharmacy
- Long Term Care Pharmacy
- Eugene, OR
- NPI 1407720428
Locations
1750 Willow Creek Cir
Eugene, OR 97402
Phone (541) 744-1641
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Eugene, OR
- NPI 1912221441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1043184070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": "GUARDIAN PHARMACY OF OREGON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "KLEMM",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-744-1641"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://managedhealthcarepharmacy.com/",
"affiliation": "N",
"endpointDescription": "Health Information Exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Exchange",
"address_1": "3120 State St",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "975048450",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.