OrganizationActive
Good Shepherd Medical Service Corp
NPI 1306103429 · Community/Retail Pharmacy · Boardman, OR
Provider details
- NPI number
- 1306103429
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Adams, Director of Pharmacy(541) 667-3746
- License
- RP-0002702 (OR)
Specialties & taxonomies
Suppliers
Practice location
220 S. Main
Boardman, OR 97818
Phone: (541) 667-3746
Fax: (541) 667-3749
Approximate (ZIP-level) locationGet directions
Mailing address
220 S. Main
Boardman, OR 97818
Other names (DBA / former)
- Doing business as
- Good Shepherd Boardman Pharmacy
Registry dates
- Enumerated
- 2012-04-13
- Last updated
- 2015-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.