# 1918 WINTER STREET OPERATING CO LLC

> 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:** QFC PHARMACY \#0205
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033980818
- **Authorized official:** KEVIN MCNAMARA (AUTHORIZED PERSON)
- **Authorized official phone:** (603) 354-4619

## Contact information

- **Practice address:** 5544 E BURNSIDE ST, PORTLAND, OR 97215-1259
- **Practice address phone:** (503) 239-7710
- **Practice address fax:** (503) 239-4073
- **Mailing address:** 7 CORPORATE DR, KEENE, NH 03431-5042
- **Mailing address phone:** (603) 354-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2024
- **Last updated:** 07/24/2024