NPIMap

Organization Active NPI

Columbia River Health

Doing business as Columbia River Pharmacy

  • Community/Retail Pharmacy
  • Boardman, OR
National Provider Identifier
1932925153
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COLUMBIA RIVER HEALTH
Doing business as
Columbia River Pharmacy
Practice address
220 South Main St
Boardman, OR 97818
Phone
(541) 481-5444
Fax
(541) 481-5445
NPI assigned
Dec 3, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA RIVER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. Andrew James Cemore Sr., PHARMD
Title
Director of Pharmacy
Phone
(541) 922-3281

Specialties & licenses 1

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

Addresses

Primary practice location

220 South Main St
Boardman, OR 97818

Mailing address

PO Box 397
Boardman, OR 97818-0397
Phone (541) 481-5444

Other names 1

  • Columbia River Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia River Health3 organizations share this tax ID, including this one
Part of
Columbia River Health

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1932925153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "978180397",
            "telephone_number": "541-481-5444",
            "fax_number": "541-481-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOUTH MAIN ST",
            "city": "BOARDMAN",
            "state": "OR",
            "postal_code": "97818",
            "telephone_number": "541-481-5444",
            "fax_number": "541-481-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RIVER HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA RIVER HEALTH",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CEMORE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "541-922-3281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia River Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boardman, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.