PEACEHEALTH NETWORKS ON DEMAND, LLC
NPI 1366052367
Non-Pharmacy Dispensing Site in Wilsonville, OR

NPI Status: Active since August 04, 2020

Contact Information

25600 SW ARGYLE AVE STE B
WILSONVILLE, OR
ZIP 97070
Phone: (503) 684-8252
Fax: (833) 972-0364

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 38D2055901
  • CLIA Cert. Type: Other - CLINIC
  • CLIA Exp. Date: 04-05-2026

About PEACEHEALTH NETWORKS ON DEMAND, LLC

This page provides the complete NPI Profile along with additional information for Peacehealth Networks On Demand, Llc, a provider established in Wilsonville, Oregon operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1366052367 assigned on August 2020. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Dr. Mallory Alyse Kempton-hein Pharm D. (Pharmacist)

NPI
1366052367
Provider Legal Name
PEACEHEALTH NETWORKS ON DEMAND, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
25600 SW ARGYLE AVE STE B WILSONVILLE, OR 97070
Location Phone
(503) 684-8252
Location Fax
(833) 972-0364
Mailing Address
11958 SW GARDEN PL TIGARD, OR 97223
Mailing Phone
(503) 684-8252
Mailing Fax
(833) 972-0364
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-04-2020
Last Update Date
03-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MALLORY ALYSE KEMPTON-HEIN PHARM D.

Authorized Official Title
PHARMACIST
Authorized Official Phone
(503) 684-8252

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0000085OTHER (01)ORDISPENSING PRACTITIONER DRUG OUTLET

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2055901
Facility Type
Other - CLINIC
Certificate Effective Date
April 06, 2024
Certificate Expiration Date
April 05, 2026
Laboratory Director
JENNIFER ALEMANY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peacehealth Networks On Demand, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366052367, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 0 + 5 + 4 + 3 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1366052367.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366052367, enumerated as an "organization" on August 04, 2020.

The provider is located at 25600 SW ARGYLE AVE STE B WILSONVILLE, OR 97070 and the phone number is (503) 684-8252.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.