Active NPI
BHS Eugene Inc.
- Long Term Care Pharmacy
- Eugene, OR
National Provider Identifier
1104876820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241332 | Medicaid | OR | |
| 027953 | Medicaid | OR | |
| 6028849 | Medicaid | WA | |
| 3814301 | Other | NCPDP |
Other names 1
- BHS Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|
| BHS Pharmacy | Urological Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Eugene, OR
- NPI 1336729383
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.