Organization Active NPI

Legacy Meridian Park Hospital

Doing business as Legacy Meridian Park Hospital Pharmacy

  • Community/Retail Pharmacy
  • Tualatin, OR
National Provider Identifier
1689694150
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0000864-CS Issued in OR
Legal business name
LEGACY MERIDIAN PARK HOSPITAL
Doing business as
Legacy Meridian Park Hospital Pharmacy
Practice address
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone
(503) 692-2662
NPI assigned
Jul 20, 2006
Organization subpart
Yes
Parent organization
LEGACY MERIDIAN PARK HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Sarah Jensen
Title
VP Finance
Phone
(503) 415-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP-0000864-CS OR Primary

Addresses

Primary practice location

19300 SW 65TH Ave
Tualatin, OR 97062-7706

Mailing address

PO Box 4037
Portland, OR 97208-4037
Phone (503) 413-4048

Other identifiers 1

IdentifierTypeStateIssuer
3810567OtherORNCPDP

Other names 1

  • Legacy Meridian Park Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Legacy Meridian Park Hospital2 organizations share this tax ID, including this one
Part of
Legacy Meridian Park Hospital

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1689694150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4037",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084037",
            "telephone_number": "503-413-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 SW 65TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627706",
            "telephone_number": "503-692-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MERIDIAN PARK HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY MERIDIAN PARK HOSPITAL",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "503-415-5145"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000864-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3810567",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Meridian Park Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.