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Organization Active NPI

Multnomah County Inverness Jail Pharmacy

  • Prison Health Clinic/Center
  • Portland, OR
National Provider Identifier
1669496204
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
100476 Issued in OR
Legal business name
MULTNOMAH COUNTY INVERNESS JAIL PHARMACY
Practice address
11540 NE Inverness Dr
Portland, OR 97220-9002
Phone
(503) 988-4134
Fax
(503) 988-4882
NPI assigned
Jul 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Miss Steven Joseph White, RPH
Title
Lead Pharmacist
Phone
(503) 988-3674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X 100476 OR Primary

Addresses

Primary practice location

11540 NE Inverness Dr
Portland, OR 97220-9002

Mailing address

619 NW 6TH Ave
Portland, OR 97209-3964
Phone (503) 988-3674

Other identifiers 1

IdentifierTypeStateIssuer
100476OtherOROREGON PHARMACY LICENSE #

National Provider Directory

National Provider Directory
Tax ID family
Multicare Dental Dco89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669496204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 NW 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093964",
            "telephone_number": "503-988-3674",
            "fax_number": "503-988-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 NE INVERNESS DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209002",
            "telephone_number": "503-988-4134",
            "fax_number": "503-988-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTNOMAH COUNTY INVERNESS JAIL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "LEAD PHARMACIST",
        "authorized_official_telephone_number": "503-988-3674",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "OR",
            "license": "100476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON PHARMACY LICENSE #",
            "identifier": "100476",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.