NPIMap

Organization Active NPI

Legacy Emanuel Hospital & Health Center

Doing business as Apothecary at Emanuel Hospital

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1417977976
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0001310-CS Issued in OR
Legal business name
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Doing business as
Apothecary at Emanuel Hospital
Practice address
501 N Graham St
Portland, OR 97227-1654
Phone
(503) 413-4225
Fax
(503) 413-4515
NPI assigned
Jul 20, 2006
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY EMANUEL HOSPITAL & HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Sarah Jensen
Title
VP Finance
Phone
(503) 415-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP-0001310-CS OR Primary

Addresses

Primary practice location

501 N Graham St
Portland, OR 97227-1654

Mailing address

501 N Graham St
Portland, OR 97227-1654
Phone (503) 413-4225

Other identifiers 1

IdentifierTypeStateIssuer
3805946OtherORNCPDP

Other names 1

  • Apothecary at Emanuel Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191101002047 OR DME Supplier - Pharmacy 4587573639 1 other NPI on this enrollment
Practice locations: Portland, OR

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Legacy Health Emanuel Medical Ctr501 N Graham St, Portland, OR 97227-1654(503) 413-4225 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Legacy Emanuel Hospital Health Center7 organizations share this tax ID, including this one
Part of
Legacy Emanuel Hospital Health Center

Other organizations with this tax ID 6

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

Locations

4800 NE Belknap Ct
Hillsboro, OR 97124
Phone (503) 268-4550

0150 SW Montgomery St
Portland, OR 97201
Phone (503) 451-0365

2800 N Vancouver Ave
Ste 201
Portland, OR 97227
Phone (503) 276-9000

2800 N Vancouver Ave
Ste 255
Portland, OR 97227
Phone (503) 413-2215

2801 N Gantenbein Ave
Fl 3
Portland, OR 97227
Phone (503) 276-9300

2801 N Gantenbein Ave
Ste 2225
Portland, OR 97227
Phone (503) 413-4505

300 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4134

300 N Graham St
Ste 430
Portland, OR 97227
Phone (503) 413-1500

3001 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2000

501 N Graham St
Ste 100
Portland, OR 97227
Phone 5032429850209

501 N Graham St
Ste 260
Portland, OR 97227
Phone (503) 288-6100

501 N Graham St
Ste 320
Portland, OR 97227
Phone (503) 288-9646

501 N Graham St
Ste 415
Portland, OR 97227
Phone (503) 282-7748

501 N Graham St
Ste 540
Portland, OR 97227
Phone (503) 413-4608

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

500 N Columbia River Hwy
Ste 7
Saint Helens, OR 97051
Phone (503) 397-0471

19250 SW 65th Ave
Ste 200
Tualatin, OR 97062
Phone (503) 413-2005

19875 SW 65th Ave
Ste 255
Tualatin, OR 97062
Phone (503) 692-2657

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Legacy Medical Group - FirwoodSandy, OR, CCN 383881 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 1, 2011
Jun 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Legacy Clinics LLC

    dba Legacy Medical Group Firwood

    • Rural Health Clinic/Center
    • Sandy, OR
    • NPI 1730472192

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 877

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.

View all 877

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1417977976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-413-4225",
            "fax_number": "503-413-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-413-4225",
            "fax_number": "503-413-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "503-415-5145"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0001310-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3805946",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary at Emanuel Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.