OrganizationActive
Phoenix Downtown Pharmacy LLC
NPI 1063495596 · Community/Retail Pharmacy · Phoenix, OR
Phoenix Downtown Pharmacy LLC is a Community/Retail Pharmacy organization in Phoenix, OR (NPI 1063495596).
Provider details
- NPI number
- 1063495596
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Benjamin Egendoerfer, Owner(541) 301-1473
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
404 N Main St
Phoenix, OR 97535-9632
Phone: (541) 535-1561
Fax: (541) 535-3015
Street-level locationGet directions
Mailing address
Po Box 817
Phoenix, OR 97535-0817
Other names (DBA / former)
- Doing business as
- Phoenix Pharmacy
Registry dates
- Enumerated
- 2005-11-29
- Last updated
- 2014-05-06
Frequently asked questions
- What is Phoenix Downtown Pharmacy LLC's NPI number?
- Phoenix Downtown Pharmacy LLC's National Provider Identifier (NPI) is 1063495596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Downtown Pharmacy LLC?
- Phoenix Downtown Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Phoenix Downtown Pharmacy LLC located?
- Phoenix Downtown Pharmacy LLC's practice location on file with NPPES is 404 N Main St, Phoenix, OR 97535-9632.
- What is Phoenix Downtown Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Downtown Pharmacy LLC is (541) 535-1561.
- Who is the authorized official for Phoenix Downtown Pharmacy LLC?
- The authorized official listed on Phoenix Downtown Pharmacy LLC's NPPES record is Benjamin Egendoerfer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Downtown Pharmacy LLC's NPI active?
- Yes — Phoenix Downtown Pharmacy LLC's NPI (1063495596) is active in the NPPES registry as of the last update on 2014-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.