Pharmaca Integrative Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0000363CS Issued in OR

Legal business name

PHARMACA INTEGRATIVE PHARMACY, INC.

Practice address

13 NW 23Rd PL
Portland, OR 97210

Phone

(503) 226-6211

Fax

(503) 226-5390

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Alison Farrell

Title

SVP Pharmacy Services

Phone

(717) 254-9011

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1639232929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7088 WINCHESTER CIR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013760",
            "telephone_number": "303-442-2304",
            "fax_number": "303-867-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 NW 23RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-226-6211",
            "fax_number": "503-226-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACA INTEGRATIVE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "SVP PHARMACY SERVICES",
        "authorized_official_telephone_number": "717-254-9011"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000363CS",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3804158",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suphaphon Wendy Phanthadeth-Aguinaldo, RN
• Morgan Pharis, MSW, CSWA
• Aaron Phariss
• Rachel Anna Phariss, LCSW
• Pharmaca
• Pharmacare Prescriptions Inc
• Pharmacy Acquisition Co., LLC
• Pharmacy Dot Com 82ND
• Matthew Pharris
• Erin Ella Phelan, LMT

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, 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 12, 2022; 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.