Active NPI
Prescryptive Pharmacy & Patient Services Inc
- Community/Retail Pharmacy
- Redmond, OR
National Provider Identifier
1194313619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PRESCRYPTIVE PHARMACY & PATIENT SERVICES INC
- Practice address
- 2127 S Highway 97 Ste 150
Redmond, OR 97756-0320 - Phone
- (206) 413-9475
- NPI assigned
- Jan 10, 2021
- 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
- Amanda Harmon, PHARMD, RPH
- Title
- Pharmacy Manager
- Phone
- (541) 526-3565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2127 S Highway 97 Ste 150
Redmond, OR 97756-0320
Mailing address
2127 S Highway 97 Ste 150
Redmond, OR 97756-0320
Phone (541) 526-3565
Other names 1
- Prescryptive Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230530002010 | OR | Part B Supplier - Pharmacy | 8527425917 | Practice locations: Redmond, OR |
National Provider Directory
National Provider DirectoryLocations
2127 S Highway 97
Ste 150
Redmond, OR 97756
Phone (206) 413-9475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1194313619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 S HIGHWAY 97 STE 150",
"city": "REDMOND",
"state": "OR",
"postal_code": "977560320",
"telephone_number": "541-526-3565",
"fax_number": "866-922-4730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 S HIGHWAY 97 STE 150",
"city": "REDMOND",
"state": "OR",
"postal_code": "977560320",
"telephone_number": "206-413-9475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESCRYPTIVE PHARMACY & PATIENT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-10",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "541-526-3565",
"authorized_official_credential": "PHARMD, RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prescryptive Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prescryptive Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.