Organization Active NPI

Central Oregon Pharmacy Enterprises

  • Community/Retail Pharmacy
  • Bend, OR
National Provider Identifier
1851689103
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0002644-CS Issued in OR
Legal business name
CENTRAL OREGON PHARMACY ENTERPRISES
Practice address
64683B Cook Ave
Bend, OR 97701-9033
Phone
(541) 617-1000
Fax
(541) 617-1050
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Kerri RosenblattNPI 1447534649
Title
Pic
Phone
(541) 617-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RP-0002644-CS OR Primary

Addresses

Primary practice location

64683B Cook Ave
Bend, OR 97701-9033

Mailing address

64683B Cook Ave
Bend, OR 97701-9033
Phone (541) 617-1000

Other identifiers 1

IdentifierTypeStateIssuer
2131171OtherPK

Other names 1

  • Tumalo Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

64683 Cook Ave
#B
Bend, OR 97703
Phone (541) 617-1000

Practitioners 1

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1851689103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64683B COOK AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019033",
            "telephone_number": "541-617-1000",
            "fax_number": "541-617-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64683B COOK AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019033",
            "telephone_number": "541-617-1000",
            "fax_number": "541-617-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON PHARMACY ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "541-617-1000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0002644-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tumalo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.