Hatch Family Pharmacy - Ainsworth, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

440 Issued in OR

Legal business name

HATCH FAMILY PHARMACY - AINSWORTH, INC.

Doing business as

AINSWORTH DRUG

Practice address

4027 N Interstate Ave
Portland, OR 97227-1072

Phone

(503) 282-0787

Fax

(503) 284-4604

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth W Hatch, R.PH.

Title

President

Phone

(503) 282-0787

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AINSWORTH DRUG Doing business as

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184733263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271072",
            "telephone_number": "503-282-0787",
            "fax_number": "503-284-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271072",
            "telephone_number": "503-282-0787",
            "fax_number": "503-284-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATCH FAMILY PHARMACY - AINSWORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-282-0787",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113667",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AINSWORTH DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy G Hasson, M.D.
• Timohty P Haster, L.M.T.
• Alison Jean Hastings, M.A., CCC-SLP
• William Lawrence Hastings, M.D.
• Miho Hatanaka, RDN, LD
• Theresa Mary Hatch-Rizzi
• Brigit Adamus Hatch, MD
• Cynthia Hatch
• Kenneth Hatch, RPH
• Sara Lynne Hatch, M.A.

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.