Presbyterian Nursing Home

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

00736 Issued in OR

Legal business name

PRESBYTERIAN NURSING HOME

Doing business as

PHS Long Term Care Pharmacy

Practice address

1085 N Oregon St
Ontario, OR 97914-1549

Phone

(541) 889-6157

Fax

(541) 889-6148

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Cathleen Sullivan, PHARM.D.

Title

Exec Dir Admin

Phone

(541) 889-9133

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PHS Long Term Care 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.

• Katy Sue Charoensatit, PHARM.D.

  • Pharmacist
  • Ontario, OR
  • NPI 1396033155
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1528071206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 N OREGON ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141549",
            "telephone_number": "541-889-6157",
            "fax_number": "541-889-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 N OREGON ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141549",
            "telephone_number": "541-889-6157",
            "fax_number": "541-889-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "EXEC DIR ADMIN",
        "authorized_official_telephone_number": "541-889-9133",
        "authorized_official_credential": "PHARM.D."
    },
    "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": "00736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073874",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHS Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Podiatry Care Center of Ontario, LLC
• Judith Poirot, LCSW
• Keely Dawn Ponce
• Barbara Powers
• Jesse Zeline Prentiss, LMT
• Presbyterian Nursing Home
• Megan Lee Price, BS
• Project Dove
• Hannah Layne Radford-Bishop
• Jeanise Eileen Ragains

• Long Term Care Pharmacy in Ontario, OR
• Providers in Ontario, OR by specialty
• Long Term Care Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.