# CENTRAL OREGON PHARMACY AND COMPOUNDING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Oregon Pharmacy and Compounding
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023483823
- **Authorized official:** JOHN COOPER (OWNER-PHARMACIST)
- **Authorized official phone:** (541) 548-1066

## Contact information

- **Practice address:** 655 NW GREENWOOD AVE STE 1, REDMOND, OR 97756-1672
- **Practice address phone:** (541) 548-1066
- **Practice address fax:** (541) 548-1067
- **Mailing address:** 655 NW GREENWOOD AVE STE 1, REDMOND, OR 97756-1672
- **Mailing address phone:** (541) 548-1066
- **Mailing address fax:** (541) 548-1067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP-0003153-CS | OR | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 03/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159559 | PK | — |
| 05 | — | 500705645 | — | OR |