Active NPI
Consonus Pharmacy Services LLC
- Long Term Care Pharmacy
- Milwaukie, OR
National Provider Identifier
1225073448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- IP0002138CS
- Legal business name
- CONSONUS PHARMACY SERVICES LLC
- Practice address
- 4560 SE International Way
Ste 101
Milwaukie, OR 97222-4628 - Phone
- (971) 206-5205
- Fax
- (503) 961-7781
- NPI assigned
- Jun 19, 2006
- 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
- Tami Laflen
- Title
- VP of Finance
- Phone
- (971) 206-5172
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | IP0002138CS | OR | Primary |
Addresses
Primary practice location
4560 SE International Way
Ste 101
Milwaukie, OR 97222-4628
Mailing address
4560 SE International Way
Ste 101
Milwaukie, OR 97222-4628
Phone (971) 206-5205
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274985 | Medicaid | OR | |
| 277852 | Medicaid | OR | |
| 2079270 | Other | PK | |
| 806932500 | Medicaid | ID | |
| 6027288 | Medicaid | WA |
Other names 1
- CONSONUS PHARMACY SERVICES OREGON
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054981 | OR | DME Supplier - Pharmacy | 8921216250 | Practice locations: Milwaukie, OR |
| O20201030001467 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921216250 | Practice locations: Milwaukie, OR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Consonus Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Consonus Pharmacy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Las Vegas, NV
- NPI 1144674250
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Long Term Care Pharmacy
- Ontario, CA
- NPI 1255174843
Member Of
-
- Long Term Care Pharmacy
- Redmond, WA
- NPI 1982794947
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468454400000",
"number": "1225073448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5205",
"fax_number": "503-961-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5205",
"fax_number": "503-961-7781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSONUS PHARMACY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2016-07-14",
"status": "A",
"authorized_official_last_name": "LAFLEN",
"authorized_official_first_name": "TAMI",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "971-206-5172"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "OR",
"license": "IP0002138CS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274985",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277852",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2079270",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806932500",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6027288",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CONSONUS PHARMACY SERVICES OREGON",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.