Good Shepherd Medical Service Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0001660CS Issued in OR

Legal business name

GOOD SHEPHERD MEDICAL SERVICE CORP

Doing business as

Good Shepherd Clinic Pharmacy

Practice address

600 NW 11TH Street
Suite E04
Hermiston, OR 97838

Phone

(541) 667-3652

Fax

(541) 667-3649

NPI assigned

Nov 27, 2006

Last updated

Aug 14, 2026By 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

Jonathan Edwards

Title

Coo/Cfo

Phone

(541) 667-3412

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GOOD SHEPHERD CLINIC PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Good Shepherd Clinic Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Good Shepherd Health Care Systems

  dba Good Shepherd Clinic Pharmacy

  • Clinic Pharmacy
  • Hermiston, OR
  • NPI 1578630463
  NPD tax ID
• Good Shepherd Medical Service Corp

  dba Good Shepherd Boardman Pharmacy

  • Community/Retail Pharmacy
  • Boardman, OR
  • NPI 1306103429
  NPD tax ID

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1598831257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E04",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388605",
            "telephone_number": "541-667-3652",
            "fax_number": "541-667-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH STREET",
            "address_2": "SUITE E04",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "97838",
            "telephone_number": "541-667-3652",
            "fax_number": "541-667-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MEDICAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "541-667-3412"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0001660CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500400205",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SHEPHERD CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOOD SHEPHERD CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Shepherd Health Care System (Good Shepherd Dialysis)
• Good Shepherd Health Care System (Good Shepherd Home Health Agency)
• Good Shepherd Health Care Systems (Good Shepherd Medical Center Pharmacy)
• Good Shepherd Health Care Systems (Good Shepherd Clinic Pharmacy)
• Good Shepherd Medical Group RHC
• Nicole Goodwin, M.S. CCC-SLP
• Raevyn Marie Gopher
• Terry Gray, M.A.
• Jason T Greyslak, DMD, MS
• Torrie A Griggs, LMT

• Community/Retail Pharmacy in Hermiston, OR
• Providers in Hermiston, 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 Aug 14, 2026; 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.