Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaverton Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1548217136

Beaverton Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12250 SW Canyon Rd
Beaverton, OR 97005-2116
Phone: (503) 644-2101
Fax: (503) 626-8698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence RP-0000129-CS (OR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1548217136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Irby — President · (503) 644-2101
Other names Beaverton Pharmacy; Beaverton Pharmacy
NPI enumeratedMay 28, 2006
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address12250 Sw Canyon Rd, Beaverton, OR 97005-2116

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