Thipphachanh Pitsnukanh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0018686 Issued in OR

Practice address

13 NW 23Rd PL
Portland, OR 97210-3534

Phone

(503) 226-6211

NPI assigned

Nov 12, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1083370142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 SE 162ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334103",
            "telephone_number": "503-679-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 NW 23RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103534",
            "telephone_number": "503-226-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITSNUKANH",
        "first_name": "THIPPHACHANH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0018686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asya Mealani Pitre, DO
• Lauren Park Martin Pitre, MS, RDN
• Thomas M Pitre, MD
• H Randall Pitschmann
• Jones Violet Pitsker, PWS
• Brook Paul Pittenger, MD
• Cari Elizabeth Pittleman, PHD
• Heather Pittman, LMT
• Kelvin Andre Pittman
• Trevor Micheal Pittman

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.