MEDICARE: C&K EXPRESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	001994	OR
2	333600000X	Pharmacy	001994	OR
3	332B00000X	Durable Medical Equipment & Medical Supplies	001994	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	133506	OTHER		MEDICARE FLU

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3814717	OTHER	OR	NCPDP

General Provider Information

NPI Number	:	1831185826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C&K EXPRESS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 357
Second Line	:
City	:	MOUNT SHASTA
State	:	CA
Zip	:	96067-0357
Country	:	US
Telephone Number	:	530-918-9200
Fax Number	:	530-918-9100

Provider Business Practice Location Address
First Line	:	330 DAKOTA ST
Second Line	:
City	:	SUTHERLIN
State	:	OR
Zip	:	97479-9869
Country	:	US
Telephone Number	:	541-459-5811
Fax Number	:	541-459-5556

Authorized Official
Title or Position	:	PRESIDENT RPE, MEMBER
Name	:	CHRIS RICHMOND
Credential	:	RPH
Telephone Number	:	530-918-9200

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	09/11/2025

Similar Medicare Providers

1619974235 — FRED LUKE HERSCHER DO
Practice Location Address:

781 W CENTRAL AVE
SUTHERLIN, OR
97479-9472

Practice Phone: 541-459-0303
Practice Fax: 541-459-1657

1366430936 — DR. TOBY PALM O.D.
Practice Location Address:

201 DAKOTA STREET
SUTHERLIN, OR
97479-9113

Practice Phone: 541-459-4333
Practice Fax: 541-459-7512

1487639977 — DAN WAKEFIELD HIRTLE PT
Practice Location Address:

211 DAKOTA ST
SUTHERLIN, OR
97479-9908

Practice Phone: 541-315-2851
Practice Fax: 541-315-2853

1316984156 — DEBBI L STAATS PA-C
Practice Location Address:

783 W CENTRAL
SUTHERLIN, OR
97479-9472

Practice Phone: 541-459-3500
Practice Fax: 541-459-4040

1790729077 — J & I BLACK, INC.
Practice Location Address:

113 E CENTRAL AVE
SUTHERLIN, OR
97479-9556

Practice Phone: 541-459-2712
Practice Fax: 541-459-9129

1093738080 — CITY OF SUTHERLIN
Practice Location Address:

250 S STATE ST
SUTHERLIN, OR
97479

Practice Phone: 541-459-1394
Practice Fax: 541-459-1693

Directions to “C&K EXPRESS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.