David Jong, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0019887 Issued in OR

Practice address

17779 Lower Boones Ferry Rd
Lake Oswego, OR 97035-5237

Phone

(503) 675-2509

NPI assigned

Dec 21, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  • Community/Retail Pharmacy
  • Lake Oswego, OR
  • NPI 1144266917
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1003685876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 SPENCER ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032452",
            "telephone_number": "310-743-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17779 LOWER BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355237",
            "telephone_number": "503-675-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0019887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Jones, PSYD
• Barry Travis Jones, PH.D.
• Deborah Marie Jones, AGPCNP
• Marisa Jones
• Rachel A Kvamme Jones, PSYD
• Kathleen Jordan, LMT
• Terry Jordan, LMT
• Anna Marie Jorge, MSW
• Radha Joy
• Cory S Joyner, LMT

• Pharmacist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.