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NPI · 1063401198 · NPPES-sourced

Gresham Professional Pharmacy

ActiveCommunity/Retail Pharmacy
NPI Number
1063401198
Type 2 · Organisation
Taxonomy Code
3336C0003X
Contact
(503) 491-0117
License OR · 002102
Last Updated
Enumerated
Primary practice addressOR · 97030-3373
24076 Se Stark St, Suite 100Gresham, OR 97030-3373
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About this NPIWhat this record shows.

NPI 1063401198 is registered to Gresham Professional Pharmacy, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 24076 Se Stark St, Suite 100 in Gresham, Oregon. The organisation's authorised official is David Moll. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 3815125OR· Issued by NABP/NCPDP #

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Gresham Professional Pharmacy accepts. To confirm in-network status with your specific health plan, contact Gresham Professional Pharmacy directly at (503) 491-0117.

Frequently asked

Yes. NPI 1063401198 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (503) 491-0117.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Gresham Professional Pharmacy is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0003X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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1 record · same addressOther providers at this location.

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Same specialtyOther Community/Retail Pharmacy providers in Oregon.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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