Registry data as of Aug 27, 2026

Gresham Professional Pharmacy in Gresham, OR

This organization bills under NPI 1063401198, an organization record issued on Oct 20, 2005 with the primary taxonomy Community/Retail Pharmacy. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1063401198
Legal name
Gresham Professional Pharmacy
Entity
Type 2 · organization
Primary taxonomy
Community/Retail Pharmacy 3336C0003X
Practice location
24076 SE STARK ST SUITE 100, Gresham, OR 97030
Phone
503-491-0117
Enumerated
Oct 20, 2005
Record updated
Oct 21, 2008
Authorized official
Ceo (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

Checking an organization

  1. Confirm the business with the Oregon secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 183500000X Pharmacist
  • 3336C0003X Community/Retail Pharmacy

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.