Christopher Lee Accola, PHARMD
Individual provider Active NPI Pharmacist · Springfield, OR
NPI 1063453397 · NPPES record last updated Sep 29, 2009
Key facts
- NPI
- 1063453397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0011767 (OR)
- Practice address
- 1210 Mohawk Blvd
Walgreens
Springfield, OR 97477 - Phone
- (541) 747-3619
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001181 | IA | MD | Psychologist |
| RPH-0011767 | OR | MD | Pharmacist |
| 01181 | IA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01181 | IA | |
| Pharmacist | 183500000X | RPH-0011767 | OR | Yes |
Addresses
Primary practice location
1210 Mohawk Blvd
Walgreens
Springfield, OR 97477
Mailing address
1210 Mohawk Blvd
Walgreens
Springfield, OR 97477
Phone (541) 747-3619
Other names
- Mr. Christopher Lee Accola
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.