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Organization Active NPI

Legacy Emanuel Hospital & Health Center

Doing business as Legacy Pharmacy at Holladay Park

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1639082217
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Doing business as
Legacy Pharmacy at Holladay Park
Practice address
1225 NE 2ND Ave
Portland, OR 97232-2003
Phone
(503) 413-2200
NPI assigned
Sep 24, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Cheri Berg
Title
Sr PBS Analyst
Phone
(503) 413-3958

Specialties & licenses 2

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

Addresses

Primary practice location

1225 NE 2ND Ave
Portland, OR 97232-2003

Mailing address

1225 NE 2ND Ave Ste L100
Portland, OR 97232-2003

Other names 1

  • Legacy Pharmacy at Holladay Park Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1639082217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 NE 2ND AVE STE L100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322003",
            "telephone_number": "503-413-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "SR PBS ANALYST",
        "authorized_official_telephone_number": "503-413-3958"
    },
    "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": "Legacy Pharmacy at Holladay Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.