Active NPI
Guardian Pharmacy of Oregon, LLC
- Long Term Care Pharmacy
- Eugene, OR
National Provider Identifier
1407720428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GUARDIAN PHARMACY OF OREGON, LLC
- Practice address
- 1750 Willow Creek Cir
Eugene, OR 97402-9152 - Phone
- (541) 744-1641
- Fax
- (541) 744-1052
- NPI assigned
- Oct 2, 2025
- 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
- Randall Klemm
- Title
- President
- Phone
- (541) 744-1641
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1750 Willow Creek Cir
Eugene, OR 97402-9152
Mailing address
1750 Willow Creek Cir
Eugene, OR 97402-9152
Phone (541) 744-1641
Other names 1
- Managed Healthcare Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://managedhealthcarepharmacy.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260223001530 | OR | Part B Supplier - Pharmacy | 3577044122 |
1 other NPI on this enrollment Practice locations: Eugene, OR; Medford, OR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Pharmacy of Oregon LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Medford, OR
- NPI 1043184070
Locations
1750 Willow Creek Cir
Eugene, OR 97402
Phone (541) 744-1641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1407720428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 WILLOW CREEK CIR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029152",
"telephone_number": "541-744-1641",
"fax_number": "541-744-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 WILLOW CREEK CIR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029152",
"telephone_number": "541-744-1641",
"fax_number": "541-744-1052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN PHARMACY OF OREGON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "KLEMM",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-744-1641"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://managedhealthcarepharmacy.com/",
"affiliation": "N",
"endpointDescription": "Health Information Exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Exchange",
"address_1": "1750 Willow Creek Cir",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "974029152",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Managed Healthcare Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.