Organization Active NPI

Stroheckers Pharmacy Inc

  • Specialty Pharmacy
  • Portland, OR
National Provider Identifier
1891755799
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
RP-0000985-CS Issued in OR
Legal business name
STROHECKERS PHARMACY INC
Practice address
1286 SE Holgate Blvd
Suite C-1
Portland, OR 97202-5053
Phone
(503) 222-4822
Fax
(503) 222-4868
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Ronald Dulwick
Title
President
Phone
(503) 720-9485

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X RP-0000985-CS OR Primary

Addresses

Primary practice location

1286 SE Holgate Blvd
Suite C-1
Portland, OR 97202-5053

Mailing address

1286 SE Holgate Blvd
Suite C-1
Portland, OR 97202-5053
Phone (503) 222-4822

Other identifiers 1

IdentifierTypeStateIssuer
2077938OtherPK

Other names 1

  • STROHECKERS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1286 SE Holgate Blvd
Ste C1
Portland, OR 97202
Phone (503) 222-4822

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1891755799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 SE HOLGATE BLVD",
            "address_2": "SUITE C-1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025053",
            "telephone_number": "503-222-4822",
            "fax_number": "503-222-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 SE HOLGATE BLVD",
            "address_2": "SUITE C-1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025053",
            "telephone_number": "503-222-4822",
            "fax_number": "503-222-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROHECKERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "DULWICK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-720-9485"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OR",
            "license": "RP-0000985-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STROHECKERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 2017; 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.