Cordant Pharmacy Oregon, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORDANT PHARMACY OREGON, LLC

Practice address

6135 NE 80TH Ave Ste A2
Portland, OR 97218-4033

Phone

(817) 572-0009

NPI assigned

Jul 21, 2020

Organization subpart

Yes

Parent organization

CORDANT PHARMACY OREGON, LLCAs reported in NPPES

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

Authorized official

Name

Bradley Eckmann

Title

Ceo

Phone

(502) 314-0146

Specialties & licenses 1

Addresses

Other names 1

• St. Matthews Pharmacy 2 Doing business as

Part of

Cordant Pharmacy Oregon LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1235747775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ORMSBY STATION RD STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234076",
            "telephone_number": "502-205-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 NE 80TH AVE STE A2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972184033",
            "telephone_number": "817-572-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDANT PHARMACY OREGON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORDANT PHARMACY OREGON, LLC",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ECKMANN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-314-0146"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Matthews Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Corbin, B.S
• Maren Corbly, LPC
• Alexandra Hogan Corcoran
• Andrew Corcoran, M.D.
• Eileen Michelle Corcoran, M.S., CCC-SLP
• Brett Cordell
• Chelsea Cordell
• Ryan S Cordell, PA
• Seth C Cordell
• Sierra Nicole Cordell, RDH

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.