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PHOENIX PHARMACY
NPI 1063495596
Pharmacy - Community/Retail Pharmacy in Phoenix, OR

Active since November 29, 2005
404 N MAIN ST, PHOENIX, OR 97535(541) 535-1561(541) 535-3015 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX PHARMACY (NPI 1063495596) is a healthcare organization registered as a community/retail pharmacy in Phoenix, Oregon and active in the NPI registry since November 2005. The organization lists Benjamin Egendoerfer, Owner, as its authorized official.

NPPES Registry Identity

NPI1063495596
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHOENIX DOWNTOWN PHARMACY LLC
Location Address404 N MAIN STPhoenix, OR 97535-9632
Mailing AddressPo Box 817Phoenix, OR 97535-0817 · (541) 301-1473 · Fax (503) 549-8717
Phone(541) 535-1561
Fax(541) 535-3015
Organization SubpartNo
Authorized OfficialBenjamin EgendoerferOwner · (541) 301-1473
Enumeration DateNovember 29, 2005
Last NPPES UpdateMay 6, 2014
✔ NPI 1063495596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OR · RP-0000299-CS
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.
Also ListedPharmacyTaxonomy 333600000X
404 N MAIN ST, Phoenix, OR 97535
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Other Names 1

Doing Business AsPhoenix Pharmacy

Other Identifiers 2

Other2140394Pk
Medicare NSC7010750001OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX DOWNTOWN PHARMACY, LLC
Pharmacy
404 N MAIN ST
PHOENIX, OR 97535
Jackson County (541) 301-1473
MRS. YVONNE EGENDOERFER
Legal Medicine
404 N MAIN ST
PHOENIX, OR 97535
Jackson County (541) 535-1561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Downtown Pharmacy LLC's NPI number?

The NPI number for Phoenix Downtown Pharmacy LLC is 1063495596. It was assigned to this organization in the NPPES registry on November 29, 2005. The provider is doing business as Phoenix Pharmacy.

Where is Phoenix Downtown Pharmacy LLC located?

Phoenix Downtown Pharmacy LLC is located at 404 N Main St, Phoenix, OR 97535. The listed phone number is (541) 535-1561.

What is Phoenix Downtown Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Phoenix Downtown Pharmacy LLC was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.