Providence Specialty Pharmacy Services-infusion/spp is an authorized DME supplier for medicare equipments and products.
Providence Specialty Pharmacy Services-infusion/spp is a Home Infusion Therapy Pharmacy in Portland, Oregon. This pharmacy is owned and operated by Providence Health & Services Oregon. This organization is also known as sub part of Providence Health & Services Oregon. It is located at 6410 Ne Halsey St, Suite 400, Portland and it's customer support contact number is 503-215-4652. The authorized person of Providence Specialty Pharmacy Services-infusion/spp is Donald Wayne Anderson who is Asst Corp Secretary For Enrollments of the pharmacy and his contact number is 425-525-5392. Active license number of Providence Specialty Pharmacy Services-infusion/spp is RP-0001136-CS for Home Infusion Therapy Pharmacy in Oregon. Providence Specialty Pharmacy Services-infusion/spp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Providence Specialty Pharmacy Services-infusion/spp is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Pharmacy Details:
Providence Specialty Pharmacy Services-infusion/spp 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.
6410 Ne Halsey St, Suite 400, Portland, Oregon, 97213-4742
Phone:
503-215-4652
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:
Donald Wayne Anderson
Position:
Asst Corp Secretary For Enrollments
Contact Number:
425-525-5392
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:
1427132265
Parent Organization:
Providence Health & Services Oregon
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
06 May, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Specialty Pharmacy Services-infusion/spp are as mentioned below.
Specialization
License Number
State
Status
Home Infusion Therapy Pharmacy
RP-0001136-CS
Oregon
Primary
Parenteral & Enteral Nutrition
Secondary
Specialty Pharmacy
RP-0001136-CS
Oregon
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
1044161
Medicaid
Washington
032016
Medicaid
Oregon
1427132265
Medicaid
Utah
1427132265
Medicaid
Montana
PH001OR
Medicaid
Alaska
1427132265
Medicaid
Idaho
Medicare Enrollment:
Providence Specialty Pharmacy Services-infusion/spp 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
6305755000
O20110531000342
Providence Health & Services - Oregon
DME SUPPLIER - PHARMACY
Products Available:
Providence Specialty Pharmacy Services-infusion/spp has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Cpap, Rads, & Related Supplies & Accessories
Enteral Equipment And/or Supplies
Enteral Nutrients
Gastric Suction Pumps
Heat & Cold Applications
Hospital Beds: Electric
Mechanical In-exsufflation Devices
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Oxygen Equipment & Supplies
Patient Lifts
Power Operated Vehicles (scooters)
Respiratory Suction Pumps
Seat Lift Mechanisms
Speech Generating Devices
Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads
Surgical Dressings
Tracheostomy Supplies
Traction Equipment
Ultraviolet Light Devices
Ventilators, Accessories & Supplies
Walkers
Wheelchair Seating/cushions
Wheelchairs & Accessories: Standard Manual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 5936b, Portland, Oregon
Zip:
97228-5936
Phone Number:
503-215-4652
Fax Number:
--
Patients can reach Providence Specialty Pharmacy Services-infusion/spp at 6410 Ne Halsey St, Suite 400, Portland, Oregon or can call on customer care at 503-215-4652.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Portland, Oregon
Coram Cvs/specialty Infusion Services Address: 7358 Sw Durham Rd, Portland, OR Phone: 503-684-3046 Fax: 503-684-6627Cvs Pharmacy # 17793 Address: 4030 Ne Halsey St, Portland, OR Phone: 503-327-0988 Paulsen's Pharmacy Address: 4246 Ne Sandy Blvd, Portland, OR Phone: 503-287-1163 Fax: 503-282-2281Kaiser Permanente East Interstate Pharmacy Speciality:Clinic Pharmacy Address: 3550 N Interstate Ave, Portland, OR Phone: 866-279-6122 Fax: 503-249-3438Walgreens #01082 Address: 4816 Nw Bethany Blvd, Portland, OR Phone: 503-439-9014 Wal-mart Pharmacy 10-3097 Speciality:Community/Retail Pharmacy Address: 8235 Sw Apple Way, Portland, OR Phone: 503-205-9977