University Professional Services
NPI 1073054714ActiveOrganization· Pharmacy· Beaverton, OR
Pharmacy in Beaverton, Oregon, registered in NPPES in March 2017, part of University Professional Services. The authorized official on file is Kelly Smith, Vice President, Erc. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - home infusion therapy supplier.
Overview
| NPI | 1073054714 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | University Professional Services |
| NPI issued | Mar 14, 2017 |
| Last updated in NPPES | Aug 16, 2023 |
| Certified by provider | Aug 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | RP-0003214-CS | OR |
| Registered Nurse | 163W00000X | — | — |
| Registered Nurse, Infusion Therapy | 163WI0500X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | RP-0003214-CS | OR |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | — | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | RP-0003214-CS | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (OR); Part B Supplier - Home Infusion Therapy Supplier (OR) |
|---|
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