Everetts Villa Pharmacy
LBN: David Jorgensen
Everetts Villa Pharmacy is an health care organization with primary practice located at 1755 Coburg Rd , Eugene OR 97401. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
David Jorgensen can be contacted via phone (541) 343-8861, or through Jorgensen, David via phone (541) 343-8861.
Contact Information
Primary practice address
1755 Coburg Rd
Eugene OR 97401
Phone: (541) 343-8861
Fax: (541) 465-1392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 00182 | Oregon |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00182 | Oregon |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1154433167 |
|---|---|
| LBN Legal business name | David Jorgensen |
| DBA Doing business as | Everetts Villa Pharmacy |
| Authorized official | Jorgensen, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154433167 | NPPES |
| Other | 1180250001 | DMERC | |
| MEDICAID | 170922 | DMERC | |
| Other | 3801657 | DMERC |
Popular Providers
-
Haggen Opco North Llc
1675 W 18Th Ave , Eugene OR 97402-3814 -
Shopko Stores Operating Co Llc
2815 Chad Dr , Eugene OR 97408-7335 -
Synergy Medical Systems Llc
55 Coburg Rd Ste 105 , Eugene OR 97401-2433 -
Fred Meyer Stores Inc
3333 W 11Th Ave , Eugene OR 97402-3053 -
Albertsons Llc
55 Division Ave , Eugene OR 97404-5419 -
Fred Meyer Stores Inc
60 Division Ave , Eugene OR 97404-5127 -
Albertsons Llc
4740 Royal Ave , Eugene OR 97402-1755 -
Care Rx Llc
2920 Chad Dr , Eugene OR 97408-7343