Active NPI
Eric W White, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1063750487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0012394
- Practice address
- 7404 N Interstate Ave
Portland, OR 97217-5528 - Phone
- (503) 286-6784
- NPI assigned
- Jan 18, 2013
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0012394 | OR | |
| Pharmacist | 183500000X | RPH-0012394 | OR | Primary |
Addresses
Primary practice location
7404 N Interstate Ave
Portland, OR 97217-5528
Mailing address
4848 SE 36TH Ave
Portland, OR 97202-4125
Phone (503) 702-8540
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-0012394 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1063750487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 SE 36TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972024125",
"telephone_number": "503-702-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7404 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175528",
"telephone_number": "503-286-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ERIC",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-18",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0012394",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0012394",
"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 Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.