Active NPI
Heidi L Chinwuba, PHARMD
- Pharmacotherapy Pharmacist
- Portland, OR
National Provider Identifier
1013199165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RPH 5070
- Practice address
- 4400 NE Halsey St
4TH Floor
Portland, OR 97213-1545 - Phone
- (503) 893-6900
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RPH-0010619 | OR | |
| Pharmacotherapy Pharmacist | 1835P1200X | PH00070774 | WA | |
| Pharmacotherapy Pharmacist | 1835P1200X | RPH 5070 | MT | Primary |
Addresses
Primary practice location
4400 NE Halsey St
4TH Floor
Portland, OR 97213-1545
Mailing address
4400 NE Halsey St
4TH Floor
Portland, OR 97213-1545
Phone (503) 893-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 5070 | MT | MD | Pharmacotherapy Pharmacist |
| RPH-0010619 | OR | MD | Pharmacotherapy Pharmacist |
| PH00070774 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1013199165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 NE HALSEY ST",
"address_2": "4TH FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131545",
"telephone_number": "503-893-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE HALSEY ST",
"address_2": "4TH FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131545",
"telephone_number": "503-893-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINWUBA",
"first_name": "HEIDI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OR",
"license": "RPH-0010619",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH00070774",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MT",
"license": "RPH 5070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.