OrganizationActive
Beaverton Pharmacy Inc
NPI 1639651490 · Long Term Care Pharmacy · Beaverton, OR
Beaverton Pharmacy Inc is a Long Term Care Pharmacy organization in Beaverton, OR (NPI 1639651490).
Provider details
- NPI number
- 1639651490
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Beaverton Pharmacy Inc
- Organization subpart
- Yes
- Authorized official
- Thomas Irby, President(503) 644-2101
- License
- RP-0000129-CS (OR)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
12250 Sw Canyon Rd
Beaverton, OR 97005-2116
Phone: (503) 644-2101
Street-level locationGet directions
Mailing address
12250 Sw Canyon Rd
Beaverton, OR 97005-2116
Other names (DBA / former)
- Doing business as
- Beaverton Pharmacy
- Doing business as
- Beaverton Pharmacy
Registry dates
- Enumerated
- 2018-08-29
- Last updated
- 2018-08-29
Frequently asked questions
- What is Beaverton Pharmacy Inc's NPI number?
- Beaverton Pharmacy Inc's National Provider Identifier (NPI) is 1639651490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaverton Pharmacy Inc?
- Beaverton Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Beaverton Pharmacy Inc located?
- Beaverton Pharmacy Inc's practice location on file with NPPES is 12250 Sw Canyon Rd, Beaverton, OR 97005-2116.
- What is Beaverton Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Beaverton Pharmacy Inc is (503) 644-2101.
- Who is the authorized official for Beaverton Pharmacy Inc?
- The authorized official listed on Beaverton Pharmacy Inc's NPPES record is Thomas Irby, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaverton Pharmacy Inc's NPI active?
- Yes — Beaverton Pharmacy Inc's NPI (1639651490) is active in the NPPES registry as of the last update on 2018-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.