Cascade Compounding Center LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

RP-0002988-CS Issued in OR

Legal business name

CASCADE COMPOUNDING CENTER LLC

Practice address

19550 Amber Meadow Dr
Suite 170
Bend, OR 97702-3525

Phone

(541) 389-3671

Fax

(541) 728-0988

NPI assigned

Oct 25, 2014

Last updated

Oct 25, 2014By 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

Erick R Scheiderman, OWNER

Title

Sole Member

Phone

(541) 389-3671

Specialties & licenses 1

Addresses

Locations

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.

• Angela K Valerga, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sequim, WA
  • NPI 1992078679
  NPD (past)

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1124423793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 AMBER MEADOW DR STE B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023525",
            "telephone_number": "541-389-3671",
            "fax_number": "541-728-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 AMBER MEADOW DR",
            "address_2": "SUITE 170",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023525",
            "telephone_number": "541-389-3671",
            "fax_number": "541-728-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE COMPOUNDING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "SCHEIDERMAN",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-389-3671",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OR",
            "license": "RP-0002988-CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cascade Child and Family Center (Cascade Child and Family Psychiatry)
• Cascade Counseling and Family Services
• Cascade Crest Transitions
• Cascade Endodontic Group LLC
• Cascade Foot Clinic
• Cascade Hand Therapy Inc

• Compounding Pharmacy in Bend, OR
• Providers in Bend, OR by specialty
• Compounding Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; 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.