Active NPI
Tony J Zhao, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Portland, OR
National Provider Identifier
1053893685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0016797
- Practice address
- 1700 NE 102ND Ave
Portland, OR 97220 - Phone
- (971) 229-6990
- NPI assigned
- Aug 30, 2018
- Last updated
- Jan 28, 2020
- 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 | RPH-0016797 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0016797 | OR | Primary |
Addresses
Primary practice location
1700 NE 102ND Ave
Portland, OR 97220
Mailing address
1700 NE 102ND Ave
Portland, OR 97220-3804
Phone (971) 229-6990
Other practice location 1
2501 SW Cherry Park Rd
Troutdale, OR 97060-2931
Phone (503) 674-7006
Other practice location 2
2501 SW Cherry Park Rd
Troutdale, OR 97060-2931
Phone (503) 674-7006
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0016797 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1053893685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203804",
"telephone_number": "971-229-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97220",
"telephone_number": "971-229-6990"
}
],
"practiceLocations": [
{
"address_1": "2501 SW Cherry Park Rd",
"address_purpose": "LOCATION",
"city": "Troutdale",
"state": "OR",
"postal_code": "970602931",
"country_code": "US",
"telephone_number": "503-674-7006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 SW Cherry Park Rd",
"address_purpose": "LOCATION",
"city": "Troutdale",
"state": "OR",
"postal_code": "970602931",
"country_code": "US",
"telephone_number": "503-674-7006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHAO",
"first_name": "TONY",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-30",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016797",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0016797",
"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 Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.