Beaverton Pharmacy Inc
Community/Retail Pharmacy
12250 Sw Canyon Rd, Beaverton
Oregon, 97005-2116
503-644-2101 503-626-8698
Beaverton Pharmacy Inc is a Community/Retail Pharmacy in Beaverton, Oregon. It is located at 12250 Sw Canyon Rd, Beaverton and it's customer support contact number is 503-644-2101. The authorized person of Beaverton Pharmacy Inc is Thomas Irby who is President of the pharmacy and his contact number is 503-644-2101. Active license number of Beaverton Pharmacy Inc is RP-0000129-CS for Community/Retail Pharmacy in Oregon. Beaverton Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Beaverton Pharmacy Inc is 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.
Pharmacy Details:
Beaverton Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Beaverton Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 12250 Sw Canyon Rd, Beaverton,
Oregon, 97005-2116 |
| Phone: | 503-644-2101 |
| Fax: | 503-626-8698 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Thomas Irby |
| Position: | President |
| Contact Number: | 503-644-2101 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1548217136 |
| NPI Enumeration Date: | 28 May, 2006 |
| NPI Last Update On: | 12 Dec, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beaverton Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | RP-0000129-CS | Oregon | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2148247 | Other | | Pk |
| 007807 | Medicaid | Oregon | |
Medicare Enrollment:
Beaverton Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7315065307 | O20100930077377 | Beaverton Pharmacy, Inc | DME SUPPLIER - PHARMACY |
| 7315065307 | O20160902000331 | Beaverton Pharmacy, Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Beaverton Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12250 Sw Canyon Rd,
Beaverton, Oregon |
| Zip: | 97005-2116 |
| Phone Number: | 503-644-2101 |
| Fax Number: | 503-626-8698 |
Patients can reach Beaverton Pharmacy Inc at
12250 Sw Canyon Rd, Beaverton, Oregon or can
call on customer care at 503-644-2101.
Comments/ Reviews:
Read all the reviews posted for Beaverton Pharmacy Inc below. You may also share your own experience with Beaverton Pharmacy Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.