Organization Active NPI

Hi-School Pharmacy of Oregon Inc

  • Community/Retail Pharmacy
  • Florence, OR
National Provider Identifier
1861635922
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0002536 Issued in OR
Legal business name
HI-SCHOOL PHARMACY OF OREGON INC
Practice address
2935 Hwy 101
Florence, OR 97439-9754
Phone
(541) 902-9966
Fax
(541) 902-9964
NPI assigned
Apr 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Kristi Veis
Title
VP of Pharmacy
Phone
(503) 507-6073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP0002536 OR Primary

Addresses

Primary practice location

2935 Hwy 101
Florence, OR 97439-9754

Mailing address

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236

Other identifiers 2

IdentifierTypeStateIssuer
500605479MedicaidOR
3843578OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Florence Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108001159 OR Part B Supplier - Mass Immunization (Roster Biller Only) 4981594868 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Linn, OR; Florence, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hi School Pharmacy Oreg2 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

2935 Highway 101
Florence, OR 97439
Phone (541) 902-9966

Practitioners & affiliated clinicians

Practitioners 4

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": "1240012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1861635922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 HWY 101",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399754",
            "telephone_number": "541-902-9966",
            "fax_number": "541-902-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-SCHOOL PHARMACY OF OREGON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "VEIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "503-507-6073"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0002536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500605479",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3843578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florence Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.