Organization · Type 2 NPI

Peacehealth Medical Group

Community/Retail Pharmacy · Springfield, OR

NPI number 1922018639 Active

Practice location

3333 Riverbend Dr
Springfield, OR 97477-8800

Fax (541) 431-9149

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	RP-0000785-CS (OR)
Community/Retail Pharmacy Primary	3336C0003X	PHAO1124 (AK)
Specialty Pharmacy	3336S0011X	PHNR.FO.60259219 (WA)

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 …

186 other providers at this address

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NPI record

NPI: 1922018639
Entity type: Organization (Type 2)
Issued: Aug 8, 2006
Last updated: Sep 11, 2023
Status: Active

Other names

<unavail>
Peacehealth Employee Pharmacy · doing business as
Peacehealth Riverbend Outpatient Pharmacy · doing business as

Authorized official

Brennan Duane Black, PharmD
Pharmacy Manager/pic
(541) 222-5800

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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 1922018639

Peacehealth Medical Group's National Provider Identifier is 1922018639, issued on Aug 8, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Springfield, OR. The record was last updated on Sep 11, 2023.