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Active NPI 1588741458 Organization (Entity Type 2)

Assured Pharmacy Gresham Inc

Pharmacy - Community/Retail Pharmacy • Gresham, OR

About Assured Pharmacy Gresham Inc NPI 1588741458 Summary

Assured Pharmacy Gresham Inc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Gresham, OR. Located at 831 NW COUNSIL DR, STE 115, this facility provides patient care and medical services under National Provider Identifier (NPI) 1588741458.

Administrative operations and authorized compliance are overseen by Juliette Johnson (Accounting Analyst).

Facility Location & Contact Primary Location

Facility Address

831 Nw Counsil Dr
Ste 115

Gresham, OR 97030

Telephone 9712230552
Fax 5034922148

Authorized Official Information

Authorized Contact Name

Juliette Johnson

Title / Role

Accounting Analyst

Official Telephone

9726687394

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
✅
NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2013

Registered at 831 NW COUNSIL DR, STE 115, GRESHAM, OR 97030 (Tel: 9712230552)

📍
Updated Business Mailing Address March 07, 2013

Registered at 5760 LEGACY DR, STE. B3-518, PLANO, TX 750247102 (Tel: 9726687394)

🏛️
Organization / Clinic Name Updated March 07, 2013

Operating as ASSURED PHARMACY GRESHAM INC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Pharmacy (License #RP0002366 in OR)

🟢
Initial NPI Registration & Enumeration October 31, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1588741458
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 31, 2006
Last Update: March 07, 2013
Update or Correct Listing

Mailing Address

5760 Legacy Dr, Ste. B3-518

Plano, TX 750247102

Phone: 9726687394

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.