NPIMap

Organization Active NPI

Columbia River Pharmacy

  • Community/Retail Pharmacy
  • Boardman, OR
National Provider Identifier
1154832236
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0002702 Issued in OR
Legal business name
COLUMBIA RIVER PHARMACY
Doing business as
Columbia River Pharmacy
Practice address
220 S Main St
Boardman, OR 97818
Phone
(541) 481-5444
Fax
(541) 481-5445
NPI assigned
Oct 17, 2017
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA RIVER COMMUNITY HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Andrew Cemore
Title
Pharmacy Director
Phone
(541) 481-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP-0002702 OR Primary

Addresses

Primary practice location

220 S Main St
Boardman, OR 97818

Mailing address

PO Box 397
Boardman, OR 97818-0397
Phone (541) 481-7212

Other names 1

  • Columbia River Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia River Comm HLTH3 organizations share this tax ID, including this one
Part of
Columbia River Comm HLTH

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1154832236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978180397",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "97818",
            "telephone_number": "541-481-5444",
            "fax_number": "541-481-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RIVER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA RIVER COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "CEMORE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "541-481-5444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0002702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boardman, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.