Organization Active NPI

Professionl Pharmacy

Doing business as Professional Center Pharmacy

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1992194062
Registry record updated Mar 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RPH-0000689-CA Issued in OR
Legal business name
PROFESSIONL PHARMACY
Doing business as
Professional Center Pharmacy
Practice address
10000 SE Main St Ste 201
Portland, OR 97216-2448
Phone
(503) 285-5514
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2015

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

Authorized official

Name
Mr. Christopher Joseph, MBA
Title
Owner
Phone
(702) 203-4797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RPH-0000689-CA OR Primary

Addresses

Primary practice location

10000 SE Main St Ste 201
Portland, OR 97216-2448

Mailing address

608 Sari Dr
Las Vegas, NV 89110-4227
Phone (702) 203-4797

Other names 1

  • Professional Center Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

10000 SE Main St
Ste 201
Portland, OR 97216
Phone (503) 285-5514

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426896000000",
    "number": "1992194062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SARI DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104227",
            "telephone_number": "702-203-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-285-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-03-21",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-203-4797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RPH-0000689-CA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Center 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 Mar 21, 2015; 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.