Organization Active NPI

Quisenberry Pharmacies

Doing business as Quisenberry Pharmacies, LLC

  • Long Term Care Pharmacy
  • Salem, OR
National Provider Identifier
1346787629
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
RP-0000535-CS Issued in OR
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

Updated by the provider on Aug 24, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
161018MedicaidOR
2167110OtherPK

Other names 1

  • Quisenberry Pharmacies, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quisenberry Pharmacies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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

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.

Verify at the official NPI Registry.