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 1881049658
Pharmacy - Community/Retail Pharmacy in Grants Pass, 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 April 29, 2016

1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 472-4777(541) 471-3665 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2021, Jan 5, 2017, Nov 9, 2016 (3 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 1881049658) is a healthcare organization registered as a community/retail pharmacy in Grants Pass, Oregon and active in the NPI registry since April 2016. The organization lists Eric Van Houten, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881049658

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSISKIYOU COMMUNITY HEALTH CENTER PHARMACY

Location Address1701 NW HAWTHORNE AVEGrants Pass, OR 97526-1051

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

Phone(541) 472-4777

Fax(541) 471-3665

Organization SubpartYesParent: Siskiyou Community Health Center Inc

Authorized OfficialEric Van HoutenCeo · (541) 472-4777

Enumeration DateApril 29, 2016

Last NPPES UpdateJune 30, 20263 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1881049658 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-0002572-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.

1701 NW HAWTHORNE AVE, Grants Pass, OR 97526

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Other Identifiers 1

Medicaid500711967OR

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 20

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

MONA KAAHU PMHNP

Nurse Practitioner (Psychiatric/Mental Health)