Glsjo LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLSJO LLC

Practice address

33454 SW Chinook PLZ
Scappoose, OR 97056-3731

Phone

(503) 543-6316

Fax

(360) 213-2238

NPI assigned

Mar 24, 2006

Organization subpart

No

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 2

Addresses

Other identifiers 2

Other names 1

• Hi-School Pharmacy #1165 Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janette Herrera, RPH

  • Pharmacist
  • Scappoose, OR
  • NPI 1629404561
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1962462960",
    "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": "33454 SW CHINOOK PLZ",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563731",
            "telephone_number": "503-543-6316",
            "fax_number": "360-213-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLSJO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0000553CS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3804780",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175026",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi-School Pharmacy #1165",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hi-School Pharmacy #1165",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Scappoose, OR
• Community/Retail Pharmacy in Oregon

• 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.