Credena Health LLC
Pharmacy (Community/Retail Pharmacy)

Address: 4805 Ne Glisan St Ste 11n321, Portland, OR 97213
Phone: 5039621700

Credena Health LLC (NPI# 1578049631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578049631
Entity Type Organization
Organization Name CREDENA HEALTH LLC
Practice Address 4805 Ne Glisan St Ste 11n321
OR 97213
Practice Telephone 5039621700
Mailing Address Po Box 5936b
OR 97228-5936
Mailing Telephone 5032154652
Authorized Official Name Donald Wayne Anderson (ASST CORP SECRETARY FOR ENROLLMENTS)
Authorized Official Telephone 4255255392
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-07-12
Last Update Date 2018-07-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3336C0003X Pharmacy · Community/Retail Pharmacy Suppliers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1346850641 Credena Health LLC Pharmacy 1510 Division St Ste 110, Oregon City, OR 97045-1572 2020-08-03
1629618186 Credena Health LLC Durable Medical Equipment & Medical Supplies 3300 Providence Dr Ste 101, Anchorage, AK 99508-4619 2020-01-13
1396125399 Credena Health LLC Pharmacy 6348 Ne Halsey St, Suite A, Portland, OR 97213-4720 2015-06-04
1164809778 Credena Health LLC Pharmacy 50331a Us Highway 93, Polson, MT 59860-7046 2015-05-04
1124358239 Credena Health LLC Pharmacy 501 S Buena Vista St Fl 1, Burbank, CA 91505 2010-01-12
1225190408 Credena Health LLC Pharmacy 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 2006-12-14
1568551430 Credena Health LLC Pharmacy 101 W 8th Ave Ste 207653, Spokane, WA 99204 2006-10-11
1235243668 Credena Health LLC Pharmacy 5050 Ne Hoyt St Ste 142, Portland, OR 97213-2956 2006-08-19
1205811601 Credena Health LLC Pharmacy 1140 West La Veta, Orange, CA 92868-3849 2005-12-08
1447249909 Credena Health LLC Pharmacy 19200 N Kelsey Street, Monroe, WA 98272 2005-10-18
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235747775 Cordant Pharmacy Oregon, LLC Pharmacy 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 2020-07-21
1578184909 Capsule Portland LLC Pharmacy 416 Nw 12th Ave, Portland, OR 97209-2907 2020-04-27
1588291645 Avita Drugs Oregon, LLC Pharmacy 2236 Se Belmont St Ste B, Portland, OR 97214-2817 2020-03-26
1649800186 A & S Pharmacy LLC Pharmacy 1660 Wildcat Dr, Portland, TX 78374-2830 2020-01-23
1508337577 Oregon Health & Science University Pharmacy 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 2018-12-17
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1538653654 Division Pharmacy Inc. Pharmacy 10918 Se Division St, Portland, OR 97266-1259 2018-06-21
1922536606 Pharmacy Acquisition Co., LLC Pharmacy 1286 Se Holgate Blvd # C-2, Portland, OR 97202-5053 2017-05-25
1659755593 Portland Professional Pharmacy, LLC Pharmacy 11717 Ne Glisan St, Portland, OR 97220-2141 2015-07-09
1992194062 Professionl Pharmacy Pharmacy 10000 Se Main St Ste 201, Portland, OR 97216-2448 2015-01-13
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Office Location

Street Address 4805 NE GLISAN ST STE 11N321
State OR
Zip Code 97213

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
1447654207 Lavo Translations Inc. Interpreter 4300 Ne Fremont St., Ste.230, Portland, OR 97213 2014-10-22
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Zip Code 97213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.