Senior Pharmacy, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

IP-0001818-CS Issued in OR

Legal business name

SENIOR PHARMACY, LLC

Practice address

28717 Grumman Dr
Eugene, OR 97402-9542

Phone

(541) 607-2000

Fax

(541) 284-8232

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Scott Berger

Title

Director, Business Operations

Phone

(541) 607-2000

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942257043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28717 GRUMMAN DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029542",
            "telephone_number": "541-607-2000",
            "fax_number": "541-284-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28717 GRUMMAN DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029542",
            "telephone_number": "541-607-2000",
            "fax_number": "541-284-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "541-607-2000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "RP-0002006-CS",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "IP-0001818-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3814034",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227136",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227137",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Lee Selleck
• Donald H Sellers, LCSW
• Stacy E Sellers, LMT
• Robert J Selner, QMHP
• Kaitlyn Selser, LPC
• Soonhyuk Seo
• Yeji Seo
• Rose Sepidnameh
• Noah Anthony Sepulveda, DPT
• Heather Eir Serafin, LCSW

• Skilled Nursing Facility in Eugene, OR
• Providers in Eugene, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.