Gold Beach Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOLD BEACH PHARMACY LLC

Practice address

94202 2ND St
Gold Beach, OR 97444-9700

Phone

(541) 727-3300

Fax

(541) 919-0034

NPI assigned

Jun 3, 2024

Organization subpart

Yes

Parent organization

BEACON HEALTH CARE SOLUTIONS INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Dr. Andrew Hibbard, PHARMDNPI 1871960716

Title

President

Phone

(269) 599-0857

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Part of

Beacon Health Care Solutions Incorporated

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Beacon Health Care Solutions Incorporated

  dba Broadway Pharmacy

  • Pharmacy
  • North Bend, OR
  • NPI 1598302119

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beacon Health Care Solutions Incorporated

  dba Broadway Pharmacy

  • Pharmacy
  • North Bend, OR
  • NPI 1598302119
  NPPES parent name

Practitioners 2

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.

• Andrew Hibbard, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Portland, OR
  • NPI 1871960716
  NPD Authorized official
• Priyal Patel

  • Pharmacist
  • North Bend, OR
  • NPI 1255701876
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1528809886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 BROADWAY AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592216",
            "telephone_number": "541-727-3300",
            "fax_number": "541-919-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94202 2ND ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974449700",
            "telephone_number": "541-727-3300",
            "fax_number": "541-919-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD BEACH PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON HEALTH CARE SOLUTIONS INCORPORATED",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "HIBBARD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-599-0857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Gamble
• Ryan James Girard, LAC
• Vannesza Eunice Girard, L.AC.
• Satyendra Giri, M.D.
• Gold Beach Family Dental Inc
• Evelin Gonzales
• Laura Greathead, LMT
• Jean E Hale, PSY.D.
• Rhonda Hale, PT
• Kelly Ann Hall

• Community/Retail Pharmacy in Gold Beach, OR
• Providers in Gold Beach, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.