NPIMap

Organization Active NPI

New Narrative Pharmacy

  • Pharmacist
  • Portland, OR
National Provider Identifier
1811212798
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
NEW NARRATIVE PHARMACY
Practice address
121 NE 102ND Ave
Suite 125 BLDG III
Portland, OR 97220
Phone
(503) 597-3904
Fax
(503) 597-3905
NPI assigned
Apr 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Robert John Grimm, RPH
Title
Pic
Phone
(503) 597-3904

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

121 NE 102ND Ave
Suite 125 BLDG III
Portland, OR 97220

Mailing address

121 NE 102ND Ave
Suite 125 BLDG III
Portland, OR 97220
Phone (503) 597-3904

Other identifiers 3

IdentifierTypeStateIssuer
500627213MedicaidOR
3843794OtherNCPDP
104356MedicaidOR

Other names 1

  • FORMERLY LUKE-DORF PHARMACY Other name

National Provider Directory

National Provider Directory

Locations

11349 NE Sandy Blvd
Portland, OR 97220
Phone (503) 597-3928

121 NE 102nd Ave
Ste 125
Portland, OR 97220
Phone (503) 597-3904

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1811212798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NE 102ND AVE",
            "address_2": "SUITE 125 BLDG III",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-597-3904",
            "fax_number": "503-597-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NE 102ND AVE",
            "address_2": "SUITE 125 BLDG III",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-597-3904",
            "fax_number": "503-597-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW NARRATIVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "503-597-3904",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500627213",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3843794",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104356",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORMERLY LUKE-DORF PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.