Astoria Family Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

RP0001690CS Issued in OR

Legal business name

ASTORIA FAMILY PHARMACY, LLC

Doing business as

Astoria Family Pharmacy

Practice address

2120 Exchange St
Suite 101
Astoria, OR 97103-3365

Phone

(503) 325-3455

Fax

(503) 325-3473

NPI assigned

Mar 23, 2006

Last updated

Nov 19, 2009By 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. Steve J Oliva, RPH

Title

Owner

Phone

(360) 693-5879

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Astoria Family Pharmacy Doing business as

Locations

Practitioners 1

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.

• Samuel S Suk, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Beaverton, OR
  • NPI 1518028976
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1457311698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST",
            "address_2": "SUITE 101",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033365",
            "telephone_number": "503-325-3455",
            "fax_number": "503-325-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-693-5879",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0001690CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226560",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3814111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astoria Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott E Ashley, MD
• Assisted Living Concepts Inc (Astor House)
• Astoria Birth Center
• Astoria Birth Center Providers (Astoria Birth Center)
• Astoria Chiropractic Physicians Center
• Astoria Physical Therapy and Sports Rehabilitation Center, PC
• Astoria Women's Health LLC
• Brenda Sue Atwood
• Barbara Jean Babnew, PTA
• Bryanne Baker

• Pharmacy in Astoria, OR
• Providers in Astoria, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.