EDEN HEALTHCARE LLC
NPI 1194317909
Pharmacy - Community/Retail Pharmacy in Medford, OR

Active since February 03, 2021
843 E MAIN ST STE 204, MEDFORD, OR 97504(541) 329-0478(541) 314-9556 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2021, Feb 3, 2021 (2 updates tracked since 2021).

About Eden Healthcare Llc NPPES

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

EDEN HEALTHCARE LLC (NPI 1194317909) is a healthcare organization registered as a community/retail pharmacy in Medford, Oregon and active in the NPI registry since February 2021. The organization lists Dane Fickes, Owner, as its authorized official.

NPPES Registry Identity

NPI1194317909
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEDEN HEALTHCARE LLC
Location Address843 E MAIN ST STE 204Medford, OR 97504-7137
Mailing Address843 E Main St Ste 204Medford, OR 97504-7137 · (541) 329-0478 · Fax (541) 314-9556
Fax(541) 314-9556
Organization SubpartNo
Authorized OfficialDane FickesOwner · (541) 329-0478
Enumeration DateFebruary 3, 2021
Last NPPES UpdateJuly 25, 20212 updates tracked since enumeration
NPPES CertifiedJuly 25, 2021
NPI 1194317909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.

843 E MAIN ST STE 204, Medford, OR 97504

Other Identifiers 1

OtherRP-0003659OR · Oregon Board Of Pharmacy Retail Drug Outlet License

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
843 E MAIN ST STE 204
MEDFORD, OR 97504

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 Eden Healthcare LLC's NPI number?

The NPI number for Eden Healthcare LLC is 1194317909. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Eden Healthcare LLC located?

Eden Healthcare LLC is located at 843 E Main St Ste 204, Medford, OR 97504. The listed phone number is (541) 329-0478.

What is Eden Healthcare LLC's specialty?

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

What insurance does Eden Healthcare LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Eden Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eden Healthcare LLC was last updated on July 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.