NPIMap

Organization Active NPI

Rockwood Health Clinic Pharmacy

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1255645271
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0002610-CS Issued in OR
Legal business name
ROCKWOOD HEALTH CLINIC PHARMACY
Practice address
2020 SE 182ND Ave
Portland, OR 97233-5692
Phone
(503) 988-3353
Fax
(503) 988-4345
NPI assigned
Aug 2, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michele Koder
Title
Director of Pharmacy
Phone
(503) 988-7278

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County Health Dept-Pharmacy Admin89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X RP-0002610-CS OR Primary

Addresses

NPPES NPI Registry

Primary practice location

2020 SE 182ND Ave
Portland, OR 97233-5692

Mailing address

619 NW 6TH Ave FL 7
Portland, OR 97209-3964
Phone (503) 988-3353

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3843869OtherNCPDP PROVIDER IDENTIFICATION NUMBER
500624853MedicaidOR

Other names 1

NPPES NPI Registry
  • Multnomah County Oregon- Rockwood Health Clinic Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2020.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1255645271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 NW 6TH AVE FL 7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093964",
            "telephone_number": "503-988-3353",
            "fax_number": "503-988-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SE 182ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335692",
            "telephone_number": "503-988-3353",
            "fax_number": "503-988-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD HEALTH CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "KODER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "503-988-7278"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0002610-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3843869",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500624853",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multnomah County Oregon- Rockwood Health Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multnomah County Oregon- Rockwood Health Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.