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MEDICATION MANAGEMENT PROGRAM
NPI 1720493968
Pharmacy - Clinic Pharmacy in Portland, OR

Active since June 26, 2014
5717 NE 138TH AVE, PORTLAND, OR 97230(503) 261-7541(503) 261-2048 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Medication Management Program NPPES

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

MEDICATION MANAGEMENT PROGRAM (NPI 1720493968) is a healthcare organization registered as a clinic pharmacy in Portland, Oregon and active in the NPI registry since June 2014. The organization lists Steve Logan, Director, Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1720493968
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMEDICATION MANAGEMENT PROGRAM
Location Address5717 NE 138TH AVEPortland, OR 97230-3409
Mailing Address5717 Ne 138th AvePortland, OR 97230-3409 · (503) 261-7541 · Fax (503) 261-2048
Phone(503) 261-7541
Fax(503) 261-2048
Organization SubpartNo
Authorized OfficialSteve LoganDirector, Pharmacy · (503) 261-7980
Enumeration DateJune 26, 2014
Last NPPES UpdateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1720493968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Licenses✔ Licensed in OR · 2131✔ Licensed in WA · 00058657
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
5717 NE 138TH AVE, Portland, OR 97230
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Other Names 1

Doing Business AsMedication Management Program

Other Identifiers 3

Medicaid136668OR
Other2146486Pk
Medicaid6019392WA

Other Providers at the Same Location NPPES 20

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

DONNA L WOLFER RPH
Pharmacist (Pharmacotherapy)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
MR. SCOTT WALLIS RPH
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
KELA EDVALSON RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 729-3825
MELANIE HLAVACKA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
PADMINI NAIDU RPH
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7951
DR. SCOTT KAGAWA NAKASHIMADA PHARMD
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 571-5391
MEGAN JONES PHARMD
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
DR. WENDY MICHELLE JENKINS PHARM.D.
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541

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 Medication Management Program's NPI number?

The NPI number for Medication Management Program is 1720493968. It was assigned to this organization in the NPPES registry on June 26, 2014.

Where is Medication Management Program located?

Medication Management Program is located at 5717 NE 138th Ave, Portland, OR 97230. The listed phone number is (503) 261-7541.

What is Medication Management Program's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Medication Management Program was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.