Quisenberry Health System Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

IP-0002261-CS Issued in OR

Legal business name

QUISENBERRY HEALTH SYSTEM PHARMACY, LLC

Practice address

148 Liberty St SE
Salem, OR 97301-3506

Phone

(503) 364-3336

NPI assigned

Aug 31, 2015

Organization subpart

No

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

Authorized official

Name

Steve Quisenberry

Title

Owner

Phone

(503) 364-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quisenberry Health System Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1760859367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013506",
            "telephone_number": "503-364-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013506",
            "telephone_number": "503-364-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUISENBERRY HEALTH SYSTEM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "QUISENBERRY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-364-3336"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "IP-0002261-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quisenberry Health System Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harlem H Quijano, D.C
• Lerma Ocapan Quijano, MD
• Bonita Gail Quinn
• Cindy Quintanilla
• Briana Quintero Salgado
• Quisenberry Pharmacies
• Quisenberry Pharmacies Inc.
• Quisenberry Pharmacies Inc.
• Caroline Elizabeth Quist, MOTR/L
• R Tyson Scott DPM LLC

• Community/Retail Pharmacy in Salem, OR
• Providers in Salem, 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 Aug 31, 2015; 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.