Organization · Type 2 NPI

Mosaic Community Health

Community/Retail Pharmacy · Bend, OR

NPI number 1235713728 Active

Practice location

2065 NE Tucson Way Apt 120
Bend, OR 97701-5182

Call (541) 383-3005 Map

Fax (541) 383-1883

Mailing address

PO Box 4228
Portland, OR 97208-4228

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 …

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NPI record

NPI: 1235713728
Entity type: Organization (Type 2)
Issued: May 11, 2021
Last updated: Oct 13, 2026
Status: Active
Subpart: Yes of Mosaic Community Health

Other names

<unavail>
Mosaic Medical · doing business as
Mosaic Pharmacy-Bend · other name

Authorized official

Kimberly Kae Thomas
Revenue Cycle Manager
(541) 617-5369

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235713728

Mosaic Community Health's National Provider Identifier is 1235713728, issued on May 11, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bend, OR. The record was last updated on Oct 13, 2026.