Oregon Cvs Pharmacy LLC
Oregon Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Tigard, OR, holding Type 2 (organization) NPI 1104848829 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104848829 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Oregon Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 9009 SW HALL BLVD, Tigard, OR, 97223 |
| Phone | 5036393446 |
| Fax | 5032077176 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2016-12-09 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | RP-0001657 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2078890 | Other | — | PK |
Copy-ready billing details
Provider: Oregon Cvs Pharmacy LLC NPI: 1104848829 Taxonomy: 333600000X (Pharmacy) Address: 9009 SW HALL BLVD, Tigard, OR, 97223
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104113075 | Janice Nelson | Individual | Pharmacist | Tigard, OR |
| 1013204874 | Jeannette Johnson | Individual | Pharmacist | Tigard, OR |
| 1730468166 | Christopher De Guzman | Individual | Pharmacist | Tigard, OR |
| 1003185802 | Lindsay Fredericks | Individual | Pharmacist | Tigard, OR |
| 1114351897 | Eduard Scheckmann | Individual | Pharmacist | Tigard, OR |
| 1497247928 | Molly Carriero | Individual | Pharmacist | Tigard, OR |
| 1790372126 | Byungrye Jung | Individual | Pharmacist | Tigard, OR |
Verify this record
Cross-check NPI 1104848829 against the authoritative CMS record: view Oregon Cvs Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Oregon Cvs Pharmacy LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-12-09.