Active NPI
Quisenberry Pharmacies Inc.
- Pharmacy
- Salem, OR
National Provider Identifier
1700972759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RP-0000534-CS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161000 | Medicaid | OR |
National Provider Directory
National Provider Directory- Tax ID family
- Quisenberry Pharmacies
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Salem, OR
- NPI 1346787629
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.