NPIMap

Organization Active NPI

Peacehealth Networks on Demand, LLC

Doing business as ZoomCare- NW Lovejoy

  • Non-Pharmacy Dispensing Site
  • Portland, OR
National Provider Identifier
1144830365
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PEACEHEALTH NETWORKS ON DEMAND, LLC
Doing business as
ZoomCare- NW Lovejoy
Practice address
945 NW Lovejoy St
Portland, OR 97209-3475
Phone
(503) 941-3807
Fax
(503) 941-3809
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PEACEHEALTH NETWORKS ON DEMAND, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Dr. Mallory Alyse Kempton-Hein, PHARM D.NPI 1366948465
Title
Pharmacist
Phone
(503) 941-3807

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

945 NW Lovejoy St
Portland, OR 97209-3475

Mailing address

1455 NW Irving St Ste 600
Portland, OR 97209-2277
Phone (503) 941-3807

Other identifiers 1

IdentifierTypeStateIssuer
SPD-0000035OtherORSUPERVISING PHYSICIAN DISPENSING OUTLET

Other names 1

  • ZoomCare- NW Lovejoy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peacehealth Networks62 organizations share this tax ID, including this one
Part of
Peacehealth Networks

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

945 NW Lovejoy St
Portland, OR 97209

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.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1144830365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 NW IRVING ST STE 600",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092277",
            "telephone_number": "503-941-3807",
            "fax_number": "503-941-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093475",
            "telephone_number": "503-941-3807",
            "fax_number": "503-941-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH NETWORKS ON DEMAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEACEHEALTH NETWORKS ON DEMAND, LLC",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "KEMPTON-HEIN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "ALYSE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-941-3807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISING PHYSICIAN DISPENSING OUTLET",
            "identifier": "SPD-0000035",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZoomCare- NW Lovejoy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.