Providence Health & Services Oregon

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0001048-CS Issued in OR

Legal business name

PROVIDENCE HEALTH & SERVICES OREGON

Doing business as

Providence Seaside Hospital Retail Pharmacy

Practice address

725 S Wahanna Rd
Seaside, OR 97138-7735

Phone

(503) 717-7380

NPI assigned

Feb 18, 2014

Last updated

Apr 29, 2025By 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

Donald W Anderson Jr.

Title

Assistant Secretary Enrollments

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• Providence Seaside Hospital Retail Pharmacy Doing business as

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1669896270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4199",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104199",
            "telephone_number": "503-717-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S WAHANNA RD",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387735",
            "telephone_number": "503-717-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0001048-CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Seaside Hospital Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence Seaside Hospital Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Health & Services - Oregon (Providence Seaside Hospital)
• Providence Health & Services Oregon (Providence Seaside Hospital)
• Providence Health & Services Oregon (Providence Seaside Hospital)
• Providence Health & Services Oregon (Providence Seaside Hospital)
• Providence Health & Services Oregon (Providence Seaside Hospital, Providence Seaside Clinic)
• Providence Seaside Hospital
• Kristyne Ranney, R.N.
• Hailey Marie Ranta
• Margaret Ann Reilley, P.T.
• Elizabeth A Rice, L.M.T.

• Community/Retail Pharmacy in Seaside, OR
• Providers in Seaside, 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 Apr 29, 2025; 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.