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PROFESSIONAL CENTER 205 PHARMACY
NPI 1639521149
Pharmacy - Community/Retail Pharmacy in Portland, OR

Active since July 08, 2016
10000 SE MAIN ST STE 118, PORTLAND, OR 97216(503) 255-2546(503) 255-3893 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Center 205 Pharmacy NPPES

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

PROFESSIONAL CENTER 205 PHARMACY (NPI 1639521149) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since July 2016. The organization lists Susan Hodge, Owner, as its authorized official.

NPPES Registry Identity

NPI1639521149
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROFESSIONAL 205 PHARMACY
Location Address10000 SE MAIN ST STE 118Portland, OR 97216-2462
Mailing Address10000 Se Main St Ste 118Portland, OR 97216-2462 · (503) 255-2546 · Fax (503) 255-3893
Phone(503) 255-2546
Fax(503) 255-3893
Organization SubpartNo
Authorized OfficialSusan HodgeOwner · (503) 255-2546
Enumeration DateJuly 8, 2016
Last NPPES UpdateAugust 17, 2016
✔ NPI 1639521149 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,0000689
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.
10000 SE MAIN ST STE 118, Portland, OR 97216
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Other Names 1

Doing Business AsProfessional Center 205 Pharmacy

Other Identifiers 1

Other2160623Pk

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.

MPKM, LLC
Pharmacy (Community/Retail Pharmacy)
10000 SE MAIN ST STE 118
PORTLAND, OR 97216
Multnomah County (702) 203-4797
OREGON HEALTH & SCIENCE UNIVERSITY
Pharmacy
10000 SE MAIN ST STE 118
PORTLAND, OR 97216
Multnomah County (503) 494-3500

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 Professional 205 Pharmacy's NPI number?

The NPI number for Professional 205 Pharmacy is 1639521149. It was assigned to this organization in the NPPES registry on July 8, 2016. The provider is doing business as Professional Center 205 Pharmacy.

Where is Professional 205 Pharmacy located?

Professional 205 Pharmacy is located at 10000 SE Main St Ste 118, Portland, OR 97216. The listed phone number is (503) 255-2546.

What is Professional 205 Pharmacy'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 Professional 205 Pharmacy was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.