Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SISKIYOU COMMUNITY HEALTH CENTER PHARMACY
NPI 1427404094
Pharmacy - Community/Retail Pharmacy in Cave Junction, OR

Q: What is Siskiyou Community Health Center Pharmacy's specialty?

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

Active since May 12, 2016

25647 REDWOOD HWY, CAVE JUNCTION, OR 97523(541) 592-2010(541) 592-2011 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2021, Jan 5, 2017, Nov 9, 2016 and 1 more (4 updates tracked since 2016).

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About Siskiyou Community Health Center Pharmacy NPPES

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

SISKIYOU COMMUNITY HEALTH CENTER PHARMACY (NPI 1427404094) is a healthcare organization registered as a community/retail pharmacy in Cave Junction, Oregon and active in the NPI registry since May 2016. The organization lists Eric Van Houten, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427404094

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSISKIYOU COMMUNITY HEALTH CENTER PHARMACY

Location Address25647 REDWOOD HWYCave Junction, OR 97523-9332

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 472-4777 · Fax (541) 471-1439

Phone(541) 592-2010

Fax(541) 592-2011

Organization SubpartNo

Authorized OfficialEric Van HoutenCeo · (541) 472-4777

Enumeration DateMay 12, 2016

Last NPPES UpdateJune 30, 20264 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1427404094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in OR · RP-0003008-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.

25647 REDWOOD HWY, Cave Junction, OR 97523

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Other Identifiers 1

Medicaid500715326OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, SummaCare.Insurance ›

Other Providers at the Same Location NPPES 19

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

DR. PETER STEVEN TOMMERUP D.D.S.

Dentist