Portland Compounding Pharmacy LLC
NPI 1558373613ActiveOrganization· Pharmacy, Compounding Pharmacy· Portland, OR
Pharmacy, Compounding Pharmacy in Portland, Oregon, registered in NPPES in August 2006. The authorized official on file is Natalie Gustafson, PHARMD, Director Of Pharmacy.
Overview
| NPI | 1558373613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2006 |
| Last updated in NPPES | Nov 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | RP-0000465-CS | OR |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Compounding Pharmacy providers in Portland
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