Organization Active NPI

Prescryptive Pharmacy & Patient Services Inc

  • Community/Retail Pharmacy
  • Redmond, OR
National Provider Identifier
1194313619
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Mar 5, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230530002010 OR Part B Supplier - Pharmacy 8527425917 Practice locations: Redmond, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.