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FOUR RIVERS CORRECTIONAL PHARMACY
NPI 1326353848
Pharmacy - Institutional Pharmacy in Ontario, OR

Active since August 09, 2010CLIA 38D0951419 · Waiver
88 SW 3RD AVE, ONTARIO, OR 97914(503) 986-6969(541) 889-0027 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Four Rivers Correctional Pharmacy NPPES

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

FOUR RIVERS CORRECTIONAL PHARMACY (NPI 1326353848), doing business as Snake River Correctional Institution-odoc (remove), is a healthcare organization registered as an institutional pharmacy in Ontario, Oregon and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Rob C. Nutt, Chief Pharmacy Officer, as its authorized official.

NPPES Registry Identity

NPI1326353848
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameFOUR RIVERS CORRECTIONAL PHARMACY
Location Address88 SW 3RD AVEOntario, OR 97914
Mailing Address2757 22nd St SeSalem, OR 97302 · (503) 378-5449 · Fax (503) 378-8902
Phone(503) 986-6969
Fax(541) 889-0027
Organization SubpartNo
Authorized OfficialRob C. NuttChief Pharmacy Officer · (541) 709-1958
Enumeration DateAugust 9, 2010
Last NPPES UpdateApril 17, 2024
✔ NPI 1326353848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
88 SW 3RD AVE, Ontario, OR 97914
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Other Names 1

Former Legal Business NameSnake River Correctional Institution-odoc (remove)

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0951419

Snake River Correctional Institution · Ontario, OR
Active · expires Dec 31, 2027
CLIA Number38D0951419
Laboratory TypePrison
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Warren Roberts
Laboratory Phone(503) 378-5538
Laboratory LocationSnake River Correctional Institution777 Stanton Blvd, Ontario, OR 97914
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. KELLY DROLLINGER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
88 SW 3RD AVE
ONTARIO, OR 97914
Malheur County (503) 986-6952

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 Four Rivers Correctional Pharmacy's NPI number?

The NPI number for Four Rivers Correctional Pharmacy is 1326353848. It was assigned to this organization in the NPPES registry on August 9, 2010. The provider was formerly known as Snake River Correctional Institution-Odoc (remove).

Where is Four Rivers Correctional Pharmacy located?

Four Rivers Correctional Pharmacy is located at 88 SW 3rd Ave, Ontario, OR 97914. The listed phone number is (503) 986-6969.

What is Four Rivers Correctional Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Four Rivers Correctional Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0951419) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Four Rivers Correctional Pharmacy was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.