NPIMap

Organization Active NPI

Good Samaritan Hospital Corvallis

Doing business as Samaritan Pharmacy - Corvallis

  • Community/Retail Pharmacy
  • Corvallis, OR
National Provider Identifier
1528117959
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOOD SAMARITAN HOSPITAL CORVALLIS
Doing business as
Samaritan Pharmacy - Corvallis
Practice address
3521 NW Samaritan Drive
Suite 202
Corvallis, OR 97330-4744
Phone
(541) 768-5225
NPI assigned
Jan 8, 2007
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Joseph M. Cahill III
Title
Ceo
Phone
(541) 451-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3521 NW Samaritan Drive
Suite 202
Corvallis, OR 97330-4744

Mailing address

3521 NW Samaritan Drive
Suite 202
Corvallis, OR 97330-1485
Phone (541) 768-5225

Other identifiers 1

IdentifierTypeStateIssuer
RP-0001661OtherOROREGON BOARD OF PHARMACY

Other names 1

  • Samaritan Pharmacy - Corvallis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031125000163 OR Part B Supplier - Clinic/Group Practice 1557270725 Receives reassigned benefits from 589 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Corvallis, OR; Albany, OR
O20160909000893 OR Part B Supplier - Mass Immunization (Roster Biller Only) 1557270725 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corvallis, OR
O20180102000947 OR Part B Supplier - Pharmacy 1557270725 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corvallis, OR
O20180815000997 OR DME Supplier - Pharmacy 1557270725 Practice locations: Corvallis, OR

Other NPIs with the same Medicare PAC ID 5

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.

National Provider Directory

National Provider Directory
Tax ID family
Good Samaratan Hospital50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1528117959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 NW SAMARITAN DRIVE",
            "address_2": "SUITE 202",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301485",
            "telephone_number": "541-768-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NW SAMARITAN DRIVE",
            "address_2": "SUITE 202",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304744",
            "telephone_number": "541-768-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL CORVALLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-451-7914",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF PHARMACY",
            "identifier": "RP-0001661",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Pharmacy - Corvallis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Pharmacy - Corvallis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.

Verify at the official NPI Registry.