Organization Active NPI

BHS Eugene Inc.

  • Long Term Care Pharmacy
  • Eugene, OR
National Provider Identifier
1104876820
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BHS EUGENE INC.
Practice address
1455 Westec Dr
Eugene, OR 97402-9189
Phone
(541) 868-1490
Fax
(541) 868-1495
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Mr. Kenneth A Zientara, RPH
Title
President
Phone
(541) 868-1490

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X RP-0001886CS OR
Community/Retail Pharmacy 3336C0003X OR
Long Term Care Pharmacy 3336L0003X IP-0001887CS OR
Long Term Care Pharmacy 3336L0003X OR Primary

Addresses

Primary practice location

1455 Westec Dr
Eugene, OR 97402-9189

Mailing address

1455 Westec Dr
Eugene, OR 97402-9189
Phone (541) 868-1490

Other identifiers 4

IdentifierTypeStateIssuer
241332MedicaidOR
027953MedicaidOR
6028849MedicaidWA
3814301OtherNCPDP

Other names 1

  • BHS Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070124000107 OR Part B Supplier - Mass Immunization (Roster Biller Only) 9234137001 Practice locations: Eugene, OR
O20100930073688 OR DME Supplier - Pharmacy 9234137001 Practice locations: Eugene, OR

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
BHS Pharmacy1455 Westec Dr, Eugene, OR 97402(541) 868-1490 Urological Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Nov 2, 2005

National Provider Directory

National Provider Directory

Locations

1455 Westec Dr
Eugene, OR 97402
Phone (541) 868-1490

4085 W 11th Ave
Ste 1
Eugene, OR 97402
Phone (541) 868-1490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1104876820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 WESTEC DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029189",
            "telephone_number": "541-868-1490",
            "fax_number": "541-868-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 WESTEC DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029189",
            "telephone_number": "541-868-1490",
            "fax_number": "541-868-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHS EUGENE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "ZIENTARA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-868-1490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "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": "OR",
            "license": "RP-0001886CS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OR",
            "license": "IP-0001887CS",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241332",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027953",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6028849",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3814301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHS Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.

Verify at the official NPI Registry.