Organization
OAK STREET PHARMACY, INC.
Active
Other names
Oak Tree Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S SHERMAN RPH (OWNER)
(503) 585-2877
Entity
Organization
Contact information
Practice address
2940 COMMERCIAL ST SE, SALEM, OR 97302-4552
(503) 585-2877
(503) 585-6007
Mailing address
2940 COMMERCIAL ST SE, SALEM, OR 97302-4552
(503) 585-2877
(503) 585-6007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000552
OR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170982
—
OR
05
—
231993
—
OR
01
—
38-09639
NCPDP
OR
Enumeration date
07/30/2006
Last updated
09/27/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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