Healthcare Provider Details

I. General information

NPI: 1629826722
Provider Name (Legal Business Name): SHAYLA BERREY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S GARDEN WAY
EUGENE OR
97401-8176
US

IV. Provider business mailing address

4219 NW ELMWOOD DR
CORVALLIS OR
97330-1047
US

V. Phone/Fax

Practice location:
  • Phone: 541-984-2953
  • Fax:
Mailing address:
  • Phone: 541-829-0763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH-0020656
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: