Active NPI
Quisenberry Pharmacies
Doing business as Quisenberry Pharmacies, LLC
- Long Term Care Pharmacy
- Salem, OR
National Provider Identifier
1346787629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- RP-0000535-CS
- Legal business name
- QUISENBERRY PHARMACIES
- Doing business as
- Quisenberry Pharmacies, LLC
- Practice address
- 150 Liberty St SE
Salem, OR 97301-3506 - Phone
- (503) 364-3336
- Fax
- (503) 364-1474
- NPI assigned
- Jan 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Edward Quisenberry
- Title
- President
- Phone
- (503) 364-3336
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | RP-0000535-CS | OR | Primary |
Addresses
Primary practice location
150 Liberty St SE
Salem, OR 97301-3506
Mailing address
150 Liberty St SE
Salem, OR 97301-3506
Phone (503) 364-3336
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161018 | Medicaid | OR | |
| 2167110 | Other | PK |
Other names 1
- Quisenberry Pharmacies, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Quisenberry Pharmacies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Salem, OR
- NPI 1700972759
Locations
150 Liberty St SE
Salem, OR 97301
Phone (503) 364-3336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1346787629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013506",
"telephone_number": "503-364-3336",
"fax_number": "503-364-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013506",
"telephone_number": "503-364-3336",
"fax_number": "503-364-1474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUISENBERRY PHARMACIES",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-25",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "QUISENBERRY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-364-3336"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "OR",
"license": "RP-0000535-CS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161018",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2167110",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quisenberry Pharmacies, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, OR
- Lerma Ocapan Quijano, MD
- Bonita Gail Quinn
- Cindy Quintanilla
- Briana Quintero Salgado
- Quisenberry Health System Pharmacy, LLC (Quisenberry Health System Pharmacy)
- Quisenberry Pharmacies Inc.
- Quisenberry Pharmacies Inc. (Quisenberry Pharmacies)
- Caroline Elizabeth Quist, MOTR/L
- R Tyson Scott DPM LLC
- R. Anthony Ramillosa, DDS, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.