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.
Organization
NEW NARRATIVE PHARMACY
Active
Organization
NEW NARRATIVE PHARMACY
Active
Other names
FORMERLY LUKE-DORF PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOHN GRIMM RPH (PIC)
(503) 597-3904
Entity
Organization
Contact information
Practice address
121 NE 102ND AVE, SUITE 125 BLDG III, PORTLAND, OR 97220
(503) 597-3904
(503) 597-3905
Mailing address
121 NE 102ND AVE, SUITE 125 BLDG III, PORTLAND, OR 97220
(503) 597-3904
(503) 597-3905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104356
—
OR
01
—
3843794
NCPDP
—
05
—
500627213
—
OR
Enumeration date
04/02/2010
Last updated
07/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up