Beaverton Pharmacy Inc
Beaverton Pharmacy Inc is a healthcare organization registered as Long Term Care Pharmacy in Beaverton, OR, holding Type 2 (organization) NPI 1639651490 since 2018. The authorized official on file is Thomas Irby, President.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1639651490 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Beaverton Pharmacy Inc |
| Other name | <Unavail> |
| Parent organization | Beaverton Pharmacy Inc |
| Practice address | 12250 SW CANYON RD, Beaverton, OR, 97005 |
| Phone | 5036442101 |
| Enumeration date | 2018-08-29 |
| Last updated in NPPES | 2018-08-29 |
Authorized official
| Name | Thomas Irby |
|---|---|
| Title | President |
| Phone | 5036442101 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Primary | RP-0000129-CS | OR |
Copy-ready billing details
Provider: Beaverton Pharmacy Inc NPI: 1639651490 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 12250 SW CANYON RD, Beaverton, OR, 97005
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548217136 | Beaverton Pharmacy Inc | Organization | Community/Retail Pharmacy | Beaverton, OR |
| 1598989311 | Thomas Irby | Individual | Pharmacist | Beaverton, OR |
| 1477726313 | Mark Sargeant | Individual | Pharmacist | Beaverton, OR |
| 1538610746 | Lawrence Reid | Individual | Pharmacist | Beaverton, OR |
| 1114647369 | Meta Mtm Health | Organization | Community/Retail Pharmacy | Beaverton, OR |
Verify this record
Cross-check NPI 1639651490 against the authoritative CMS record: view Beaverton Pharmacy Inc 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 is a Type 2 NPI?
What type of organization is Beaverton Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-08-29.