Specialty Pharmcy, Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

SPECIALTY PHARMCY, INC

Practice address

9150 SW Pioneer CT Ste E
Wilsonville, OR 97070-9623

Phone

(503) 303-7111

Fax

(203) 210-0388

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

Lauren Braden, PHARMD

Title

Pharmacist in Charge

Phone

(503) 303-7111

Specialties & licenses 2

Addresses

Other names 1

• Community Compounding Specialty Pharmacy Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Beaman, PHARMD

  • Pharmacist
  • Wilsonville, OR
  • NPI 1326473422
  NPD
• David White, PHARMD

  • Pharmacist
  • Wilsonville, OR
  • NPI 1285982371
  NPD

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1699197459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 SW PIONEER CT STE E",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709623",
            "telephone_number": "503-303-7111",
            "fax_number": "503-210-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW PIONEER CT STE E",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709623",
            "telephone_number": "503-303-7111",
            "fax_number": "203-210-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "503-303-7111",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Compounding Specialty Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Theresa Corina Solis, LMT
• Jesus Manuel Soltero-Plaza, PT, DPT
• Heejoo Song
• Joan Specht, MA-CCC/SLP
• Specialty Compounding Pharmacy LLC
• Emily Noelle Speier
• Kristine J Spencer, PT
• Kayla Renea Spicer, LMT
• Robert Spiegel, RN, BSN, CHPN
• Spinriot

• Compounding Pharmacy in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Compounding Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.