PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL PHARMACY
NPI 1760881791
Pharmacy - Community/Retail Pharmacy in Hood River, OR

Q: What is Providence Hood River Memorial Hospital Pharmacy's specialty?

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

Active since August 14, 2014CLIA Certified · 2 labs

810 12TH ST, PHARMACY, HOOD RIVER, OR 97031(541) 387-6338(541) 387-8213 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providence Hood River Memorial Hospital Pharmacy NPPES

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

PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL PHARMACY (NPI 1760881791) is a healthcare organization registered as a community/retail pharmacy in Hood River, Oregon and active in the NPI registry since August 2014. The organization holds 2 active CLIA laboratory certificates and lists Jenni R Nelson, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1760881791

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePROVIDENCE HOOD RIVER MEMORIAL HOSPITAL PHARMACY

Location Address810 12TH ST, PHARMACYHood River, OR 97031-1587

Mailing Address810 12th StHood River, OR 97031-1587 · (541) 387-6338 · Fax (541) 387-8213

Phone(541) 387-6338

Fax(541) 387-8213

Organization SubpartYesParent: Providence Health And Services - Oregon

Authorized OfficialJenni R NelsonPharmacy Manager · (541) 387-8245

Enumeration DateAugust 14, 2014

Last NPPES UpdateApril 8, 2015

✔ NPI 1760881791 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-0000830-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.

810 12TH ST, Hood River, OR 97031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2039004

Providence Hood River Memorial Hospital Anticoagulation Clinic · Hood River, OR

Active · expires Mar 28, 2028

CLIA Number38D2039004

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateMarch 29, 2026

Certificate Expiration DateMarch 28, 2028

Laboratory DirectorJesse E. Trovillion

Laboratory Phone(541) 387-1334

Laboratory LocationProvidence Hood River Memorial Hospital Anticoagulation Clinic810 12th Street, Hood River, OR 97031

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 38D0622025

Providence Hood River Memorial Hospital Lab · Hood River, OR

Active · expires Dec 31, 2027

CLIA Number38D0622025

Laboratory TypeHospital

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorVassil B. Kaimaktchiev MD

Laboratory Phone(541) 387-6977

Laboratory LocationProvidence Hood River Memorial Hospital Lab810 12th St, Hood River, OR 97031

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

ERIC DAHLEN PHARMD

Pharmacist