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Peacehealth Medical Group

Community/Retail Pharmacy in Springfield, OR · enumerated 2006 · authorized official Brennan Black, Pharmacy Manager/Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922018639

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Registry record

Entity type Organization (Type 2)
Legal business name Peacehealth Medical Group
Other name <Unavail>
Practice address 3333 Riverbend Dr, Springfield, OR, 97477
Phone (541) 222-5800
Fax (541) 431-9149
Enumeration date Aug 8, 2006
Last updated in NPPES Sep 11, 2023

Taxonomy & classification

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

Authorized official

Name Brennan Black
Title Pharmacy Manager/Pic
Phone (541) 222-5800

Other identifiers

Identifier Type State Issuer
053967 Medicaid OR -
2077299 Other - PK

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.

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Frequently asked questions

Who is the authorized official for Peacehealth Medical Group?
NPPES lists Brennan Black (Pharmacy Manager/Pic) as the authorized official for this organization.
What is the NPI number for Peacehealth Medical Group?
The NPI for Peacehealth Medical Group is 1922018639, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-11.