Active NPI
Allan S. Jio
- Pharmacist
- Pendleton, OR
National Provider Identifier
1013928563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9980
- Practice address
- 73265 Confederated Way
Pendleton, OR 97801 - Phone
- (541) 966-9830
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9980 | OR | Primary |
| Pharmacist | 183500000X | 27339 | CA |
Addresses
Primary practice location
73265 Confederated Way
Pendleton, OR 97801
Mailing address
1903 SW Vista PL
Pendleton, OR 97801-4236
Phone (541) 276-8352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165441 | Medicaid | OR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27339 | CA | MD | Pharmacist |
| 9980 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowhawk Tribal Health Center | Past | Accepting new patients | |
| Assured Imaging Womens Wellness of Washington, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Pendleton, OR
- NPI 1346283488
-
- Diagnostic Radiology Physician
- Tukwila, WA
- NPI 1588982060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013928563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 SW VISTA PL",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978014236",
"telephone_number": "541-276-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73265 CONFEDERATED WAY",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-966-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIO",
"first_name": "ALLAN",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "9980",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "27339",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165441",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.