NPIMap

Organization Active NPI

St. Charles Health System, Inc.

Doing business as St. Charles Prineville Community Pharmacy

  • Community/Retail Pharmacy
  • Prineville, OR
National Provider Identifier
1316839202
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST. CHARLES HEALTH SYSTEM, INC.
Doing business as
St. Charles Prineville Community Pharmacy
Practice address
198 NE Combs Flat Rd Ste 100
Prineville, OR 97754-2563
Phone
(541) 706-2972
Fax
(541) 797-5319
NPI assigned
Jul 16, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Kevin E RussellNPI 1598065070
Title
Director of Ambulatory Pharmacy
Phone
(541) 609-0306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

198 NE Combs Flat Rd Ste 100
Prineville, OR 97754-2563

Mailing address

62968 Layton Ave Ste 4
Bend, OR 97701-8763
Phone (541) 706-2972

Other names 1

  • St. Charles Prineville Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Charles Medical Cent19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

62968 Layton Ave
Ste 4
Bend, OR 97701

198 NE Combs Flat Rd
Prineville, OR 97754
Phone (541) 362-8688

198 NE Combs Flat Rd
Ste 100
Prineville, OR 97754
Phone (541) 447-4111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1316839202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62968 LAYTON AVE STE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018763",
            "telephone_number": "541-706-2972",
            "fax_number": "541-797-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NE COMBS FLAT RD STE 100",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977542563",
            "telephone_number": "541-706-2972",
            "fax_number": "541-797-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF AMBULATORY PHARMACY",
        "authorized_official_telephone_number": "541-609-0306"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Charles Prineville Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Charles Prineville Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.