New Seasons Market Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0002265CS Issued in OR

Legal business name

NEW SEASONS MARKET PHARMACY

Practice address

6400 N Interstate Ave
Portland, OR 97217-4834

Phone

(503) 467-4848

Fax

(503) 808-9911

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melinda Butler

Title

Pharmacy Manager

Phone

(503) 467-4848

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

New Season Market Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• New Season Market Pharmacy

  • Pharmacist
  • Portland, OR
  • NPI 1891853552
  NPD tax ID
• New Seasons Market - Happy Valley

  • Community/Retail Pharmacy
  • Happy Valley, OR
  • NPI 1689873242
  NPD tax ID

Locations

Practitioners 2

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.

• Kristin Corbett, RPH

  • Pharmacist
  • Portland, OR
  • NPI 1114019502
  NPD (past)
• Melissa Evans

  • Pharmacy Technician
  • Portland, OR
  • NPI 1588756498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063433035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174834",
            "telephone_number": "503-467-4848",
            "fax_number": "503-808-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SEASONS MARKET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "503-467-4848"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0002265CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278090",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3842110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Narrative Pharmacy
• New Path Residential. LLC
• New Pathway Enterprise Inc
• New Season
• New Season Market Pharmacy
• New Spine Chiropractic
• New Start Program
• New Vision Wellness Center LLC
• Patricia New, RN
• Eric Daniel Newberg, LAC,LMT

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.