OrganizationActive
Gold Beach Pharmacy LLC
NPI 1528809886 · Community/Retail Pharmacy · Gold Beach, OR
Provider details
- NPI number
- 1528809886
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Beacon Health Care Solutions Incorporated
- Organization subpart
- Yes
- Authorized official
- Andrew Hibbard, President(269) 599-0857
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
94202 2nd St
Gold Beach, OR 97444-9700
Phone: (541) 727-3300
Fax: (541) 919-0034
Street-level locationGet directions
Mailing address
2790 Broadway Ave
North Bend, OR 97459-2216
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.