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BEAVERTON PHARMACY
NPI 1639651490
Pharmacy - Long Term Care Pharmacy in Beaverton, OR

Active since August 29, 2018
12250 SW CANYON RD, BEAVERTON, OR 97005(503) 644-2101 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beaverton Pharmacy NPPES

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

BEAVERTON PHARMACY (NPI 1639651490) is a healthcare organization registered as a long term care pharmacy in Beaverton, Oregon and active in the NPI registry since August 2018. The organization lists Thomas Wade Irby, President, as its authorized official.

NPPES Registry Identity

NPI1639651490
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBEAVERTON PHARMACY INC
Location Address12250 SW CANYON RDBeaverton, OR 97005-2116
Mailing Address12250 Sw Canyon RdBeaverton, OR 97005-2116 · (503) 644-2101
Phone(503) 644-2101
Organization SubpartYes
Authorized OfficialThomas Wade IrbyPresident · (503) 644-2101
Enumeration DateAugust 29, 2018
✔ NPI 1639651490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in OR · RP-0000129-CS
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
12250 SW CANYON RD, Beaverton, OR 97005
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Other Names 1

Doing Business AsBeaverton Pharmacy

Other Providers at the Same Location NPPES 5

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

META MTM HEALTH
Pharmacy (Community/Retail Pharmacy)
12250 SW CANYON RD, SUITE 200
BEAVERTON, OR 97005
Washington County (971) 229-3555
MR. MARK E SARGEANT RPH
Pharmacist
12250 SW CANYON RD
BEAVERTON, OR 97005
Washington County (503) 644-2101
LAWRENCE REID RPH
Pharmacist
12250 SW CANYON RD
BEAVERTON, OR 97005
Washington County (503) 644-2101
BEAVERTON PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
12250 SW CANYON RD
BEAVERTON, OR 97005
Washington County (503) 644-2101
MR. THOMAS WADE IRBY R.PH.
Pharmacist
12250 SW CANYON RD
BEAVERTON, OR 97005
Washington County (503) 644-2101

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 Beaverton Pharmacy Inc's NPI number?

The NPI number for Beaverton Pharmacy Inc is 1639651490. It was assigned to this organization in the NPPES registry on August 29, 2018. The provider is doing business as Beaverton Pharmacy.

Where is Beaverton Pharmacy Inc located?

Beaverton Pharmacy Inc is located at 12250 SW Canyon Rd, Beaverton, OR 97005. The listed phone number is (503) 644-2101.

What is Beaverton Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Beaverton Pharmacy Inc was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.