NPIMap

Organization Active NPI

Columbia Lutheran Charities

Doing business as CMH Community Pharmacy- Seaside

  • Community/Retail Pharmacy
  • Seaside, OR
National Provider Identifier
1194366914
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COLUMBIA LUTHERAN CHARITIES
Doing business as
CMH Community Pharmacy- Seaside
Practice address
1111 N Roosevelt Dr Ste 210
Seaside, OR 97138-4604
Phone
(503) 738-3006
Fax
(503) 738-3007
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Zach Schmitt
Title
Cfo
Phone
(503) 325-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1111 N Roosevelt Dr Ste 210
Seaside, OR 97138-4604

Mailing address

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 338-4027

Other identifiers 1

IdentifierTypeStateIssuer
RP-0003515-CSOtherOROREGON PHARMACY LICENSE

Other names 1

  • CMH Community Pharmacy- Seaside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205002456 OR Part B Supplier - Pharmacy 5294643359 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Astoria, OR; Seaside, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Columbia Lutheran Charities13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1194366914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-338-4027",
            "fax_number": "503-338-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N ROOSEVELT DR STE 210",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971384604",
            "telephone_number": "503-738-3006",
            "fax_number": "503-738-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA LUTHERAN CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-325-4321"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON PHARMACY LICENSE",
            "identifier": "RP-0003515-CS",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Community Pharmacy- Seaside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seaside, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.