OHSU GABRIEL PARK PHARMACY – Community/Retail Pharmacy, NPI 1982797155
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OHSU GABRIEL PARK PHARMACY
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
MAIL CODE: CR9-4 PHARMACY COMPLIANCE
PORTLAND, OR 972393011
Phone: (503) 494-8007
Fax: (503) 494-5094
Type: Mailing
Family Medicine at Gabriel Park, 4411, Southwest Vermont Street, Vermont Hills, Hayhurst, Portland, Metro, Multnomah County, Oregon, 97219, United States
PORTLAND, OR 972191020
Phone: (503) 494-2098
Fax: (503) 494-2255
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (860 days ago).
Enrollment records
1
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930100479 | O | Pharmacy | OR | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 36 | 36 | $0 |
| G0008 | Administration of influenza virus vaccine | 36 | 36 | $0 |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 32 | 32 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 26 | 26 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 26 | 26 | $0 |
Insurance plans in this area (ZIP 97239)
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