Healthcare Provider Details

I. General information

NPI: 1134165004
Provider Name (Legal Business Name): CHOPAT PHARMACIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 MARINE DR
ASTORIA OR
97103-3343
US

IV. Provider business mailing address

2223 MARINE DR
ASTORIA OR
97103-3343
US

V. Phone/Fax

Practice location:
  • Phone: 503-325-4311
  • Fax: 503-325-6758
Mailing address:
  • Phone: 503-325-4311
  • Fax: 503-325-6758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRP-0000724-CS
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberRP-0000724-CS
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier028257
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: DR. NIRAV R PATEL
Title or Position: VICE PRESIDENT
Credential: PHARM.D
Phone: 503-325-4311