Healthcare Provider Details

I. General information

NPI: 1326284894
Provider Name (Legal Business Name): CARE RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 MARTIN LUTHER KING JR BLVD SUITE 107
EUGENE OR
97401-5824
US

IV. Provider business mailing address

18110 SE 34TH ST BLDG 2 STE 270
VANCOUVER WA
98683-9418
US

V. Phone/Fax

Practice location:
  • Phone: 503-626-9436
  • Fax: 800-982-2730
Mailing address:
  • Phone: 800-330-3665
  • Fax: 800-982-2730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberRP-0002524-CS
License Number StateOR

VII. Legacy identifiers

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

# 1
Identifier500611485
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer
# 2
Identifier2118501
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: AJ KLEFFNER
Title or Position: CFO
Credential:
Phone: 800-330-3665