Organization Active NPI

Quisenberry Pharmacies Inc.

  • Pharmacy
  • Salem, OR
National Provider Identifier
1700972759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RP-0000534-CS Issued in OR
Legal business name
QUISENBERRY PHARMACIES INC.
Practice address
2345 Center St NE
Salem, OR 97301-4464
Phone
(503) 363-3157
Fax
(503) 363-5086
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Dwight Quisenberry
Title
Pharmacist Owner
Phone
(503) 364-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP-0000534-CS OR Primary

Addresses

Primary practice location

2345 Center St NE
Salem, OR 97301-4464

Mailing address

2345 Center St NE
Salem, OR 97301-4464
Phone (503) 363-3157

Other identifiers 1

IdentifierTypeStateIssuer
161000MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Quisenberry Pharmacies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2345 Center St NE
Salem, OR 97301
Phone (503) 363-3157

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700972759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014464",
            "telephone_number": "503-363-3157",
            "fax_number": "503-363-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014464",
            "telephone_number": "503-363-3157",
            "fax_number": "503-363-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUISENBERRY PHARMACIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUISENBERRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "503-364-3336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP-0000534-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.