1918 Winter Street Operating Co LLC
Organization Active NPI Community/Retail Pharmacy · Grants Pass, OR
NPI 1215708243 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1215708243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 1918 WINTER STREET OPERATING CO LLC
- Practice address
- 115 SE 7TH St
Grants Pass, OR 97526-3051 - Phone
- (541) 956-7546
- Fax
- (541) 956-7548
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Kevin McNamara
- Title
- Authorized Person
- Phone
- (603) 354-4619
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- 1918 Winter Street Operating Co LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
115 SE 7TH St
Grants Pass, OR 97526-3051
Mailing address
7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000
Other names
- SAFEWAY PHARMACY #0290
Other providers in Grants Pass, OR
- 1918 Winter Street Operating Co LLC
- David Abdun-Nur
- Abel Center for Rehabilitation Therapies Inc
- Sara Abel
- Accessible Mobile Dental Hygiene LLC
All providers in Grants Pass, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.