Boardman Hardware Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

4971 Issued in OR

Legal business name

BOARDMAN HARDWARE INC

Doing business as

Boardman Pharmacy

Practice address

202 N.W. First
Boardman, OR 97818

Phone

(541) 481-9474

Fax

(541) 481-2151

NPI assigned

Dec 11, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond D. Michael, R. PH.

Title

Corporation President

Phone

(541) 481-9474

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Boardman Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346300159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978180170",
            "telephone_number": "541-481-9474",
            "fax_number": "541-481-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N.W. FIRST",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "97818",
            "telephone_number": "541-481-9474",
            "fax_number": "541-481-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDMAN HARDWARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "541-481-9474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "4971",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3807382",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019299",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardman Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Bendixsen, DMD
• Maegan Bennett
• Matthew Jay Bergstrom
• Jessie Blakeman
• Boardman Fire Rescue District
• Robert J Boss, M.D.
• Jennifer B Brock
• Vanessa Calvillo
• Anna Carl
• Mayra Colin Carrillo, LPC

• Pharmacist in Boardman, OR
• Providers in Boardman, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.