MEDICATION MANAGEMENT PROGRAM
NPI 1720493968
Pharmacy - Clinic Pharmacy in Portland, OR
NPI Status: Active since June 26, 2014
Contact Information
5717 NE 138TH AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 261-7541
Fax: (503) 261-2048
- Organization
- Pharmacy
- Clinic Pharmacy
About MEDICATION MANAGEMENT PROGRAM
This page provides the complete NPI Profile along with additional information for Medication Management Program, a provider established in Portland, Oregon operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1720493968 assigned on June 2014. The practitioner's primary taxonomy code is 3336C0002X with license number 2131 (OR). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Medication Management Program. The authorized official of this NPI record is Steve Logan (Director, Pharmacy)
- NPI
- 1720493968
- Provider Legal Name
- MEDICATION MANAGEMENT PROGRAM
- Other Organization Name
- MEDICATION MANAGEMENT PROGRAM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5717 NE 138TH AVE PORTLAND, OR 97230
- Location Phone
- (503) 261-7541
- Location Fax
- (503) 261-2048
- Mailing Address
- 5717 NE 138TH AVE PORTLAND, OR 97230
- Mailing Phone
- (503) 261-7541
- Mailing Fax
- (503) 261-2048
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2014
- Last Update Date
- 06-01-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Clinic Pharmacy
- Taxonomy Code
- 3336C0002X
- Type
- Suppliers
- License No.
- 2131
- License State
- OR
- Taxonomy Description
- A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336C0002X | Suppliers | Pharmacy | 00058657 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136668 | MEDICAID (05) | OR | |
| 2146486 | OTHER (01) | PK | |
| 6019392 | MEDICAID (05) | WA |
Reviews for MEDICATION MANAGEMENT PROGRAM
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 4 | 9 | 3 | 9 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 8 | 9 | 6 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 8 + 9 + 6 + 9 + 1 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1720493968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326156936 | JASEN KARL KNUDSEN PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-2053 |
| 1750413332 | MRS. NIKI LYNN VOGT RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7900 |
| 1336329952 | KATHRYN GAUEN RING RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7515 |
| 1265614762 | PATRICIA MARIE MOSSBRUCKER RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 331-6462 |
| 1912189309 | MICHELLE L HALL RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1033391206 | MELANIE HLAVACKA PHARMD Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1144402215 | MRS. LISA JONI NAKASHIMADA RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1639351661 | CHERYL GEISLER Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (360) 261-7541 |
| 1003098708 | DONNA L WOLFER RPH Individual | Pharmacist (Pharmacotherapy) | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1427230051 | MRS. YVONNE B RICE PHARMD Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1689856296 | DR. KRYSTINE D COLLINS PHARM.D Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1285817312 | DR. TANYA ANN KUSUE RAMSEY PHARMD Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1215110143 | MRS. TAMI (THAO) T FONSECA RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1538342449 | LAURA LEE DE SIMONE RPH Individual | Pharmacist | 5717 NE 138TH AVE AIRPORT WAY CENTER PORTLAND, OR 97230 (503) 261-7541 |
| 1083898647 | DR. JODI LYNN LONGUEIL PHARMD Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7900 |
| 1154505758 | KATI ROWE RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7951 |
| 1417131970 | ROY A WAITE RPH Individual | Pharmacist | 5717 NE 138TH AVE CLINICAL PHARMACY SERVICES PORTLAND, OR 97230 (503) 261-7910 |
| 1417131533 | MRS. CATHLEEN ANN SBUR RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7541 |
| 1609050574 | DEBRA LYNN CARROLL RPH Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7900 |
| 1780868653 | BARBARA KNAPP HEALEY PHARMD Individual | Pharmacist | 5717 NE 138TH AVE PORTLAND, OR 97230 (503) 261-7900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720493968, enumerated in the NPI registry as an "organization" on June 26, 2014
The provider is located at 5717 Ne 138th Ave Portland, Or 97230 and the phone number is (503) 261-7541
This medical organization specializes in Pharmacy with taxonomy code 3336C0002X with a focus in Clinic Pharmacy
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 26, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.