Hillsboro Pharmacy & Fountain

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0000237-CS Issued in OR

Legal business name

HILLSBORO PHARMACY & FOUNTAIN

Doing business as

Hillsboro Pharmacy & Fountain

Practice address

155 SE 2ND Ave
Hillsboro, OR 97123-4026

Phone

(503) 648-1811

Fax

(503) 640-1514

NPI assigned

Aug 31, 2006

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasmine NguyenNPI 1245552983

Title

Owner

Phone

(360) 450-9194

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hillsboro Pharmacy & Fountain Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Hillsboro Pharmacy Fountain2 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.

• Hillsboro Pharmacy & Fountain

  • Long Term Care Pharmacy
  • Hillsboro, OR
  • NPI 1881326957
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasmine Nguyen, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Portland, OR
  • NPI 1245552983
  Authorized official Same address or phone
• Julianne Nguyen, PHARMD

  • Pharmacist
  • Hillsboro, OR
  • NPI 1992429310
  NPD
• Douglas A Johnson, RPH

  • Pharmacist
  • Hillsboro, OR
  • NPI 1396017174
  NPD (past)
• Evan Warren Layton, RPH

  • Pharmacist
  • Hillsboro, OR
  • NPI 1891068441
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1972615987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SE 2ND AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234026",
            "telephone_number": "503-648-1811",
            "fax_number": "503-640-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SE 2ND AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234026",
            "telephone_number": "503-648-1811",
            "fax_number": "503-640-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO PHARMACY & FOUNTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-450-9194"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000237-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077319",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083758",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsboro Pharmacy & Fountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hillsboro of Cascadia, LLC
• Hillsboro Orthopaedic Specialists LLP
• Hillsboro Orthopedic Group, Inc.
• Hillsboro Pediatric Clinic LLC
• Hillsboro Pharmacy & Fountain
• Hillsboro School District
• Hillsboro School District 1J
• Hillsboro School District 1J
• Hillsboro SNF Operations, LLC (Hillsboro Health & Rehabilitation Center)
• Hillsboro Spine and Pain

• Community/Retail Pharmacy in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.