Organization Active NPI

St. Charles Health System, Inc.

Doing business as St Charles Specialty Pharmacy

  • Community/Retail Pharmacy
  • Bend, OR
National Provider Identifier
1619735925
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST. CHARLES HEALTH SYSTEM, INC.
Doing business as
St Charles Specialty Pharmacy
Practice address
20876 NE Triton PL Ste 110
Bend, OR 97701-7319
Phone
(541) 706-3238
Fax
(541) 797-5319
NPI assigned
Mar 11, 2024
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. CHARLES HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Matt Swafford
Title
Chief Financial Officer
Phone
(541) 706-7707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

20876 NE Triton PL Ste 110
Bend, OR 97701-7319

Mailing address

20876 NE Triton PL Ste 110
Bend, OR 97701-7319
Phone (541) 706-3238

Other names 1

  • St Charles Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Charles Medical Cent19 organizations share this tax ID, including this one
Part of
St Charles Medical Cent

Other organizations with this tax ID 18

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

View all 18

Locations

20876 NE Triton Pl
Ste 110
Bend, OR 97701
Phone (541) 706-3238

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1619735925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20876 NE TRITON PL STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017319",
            "telephone_number": "541-706-3238",
            "fax_number": "541-797-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20876 NE TRITON PL STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017319",
            "telephone_number": "541-706-3238",
            "fax_number": "541-797-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CHARLES HEALTH SYSTEM, INC.",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "SWAFFORD",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-706-7707"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Charles Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.