1918 Winter Street Operating Co LLC
Organization Active NPI Community/Retail Pharmacy · Gresham, OR
NPI 1255102257 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1255102257
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 1918 WINTER STREET OPERATING CO LLC
- Practice address
- 1455 NE Division St
Gresham, OR 97030-4270 - Phone
- (503) 492-7279
- Fax
- (503) 492-7283
- NPI assigned
- Jan 10, 2024
- Organization subpart
- No
Authorized official
- Name
- Kevin McNamara
- Title
- Authorized Person
- Phone
- (603) 354-4619
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- 1918 Winter Street Operating Co LLC
Locations
1455 NE Division St
Gresham, OR 97030
Phone (503) 492-7279
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1455 NE Division St
Gresham, OR 97030-4270
Mailing address
7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000
Other names
- SAFEWAY PHARMACY #0430
Other providers in Gresham, OR
- 1918 Winter Street Operating Co LLC
- 360 Pelvic Health Institute LLC
- A Body of Wisdom Natural Family Medicine, LLC
- A Renaissance Health Center for Natural Medicine
- Aa Vision Corporation
All providers in Gresham, 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.