Active NPI
Robert Roy Macbean, PHARMD
- Pharmacist
- Longview, WA
National Provider Identifier
1114138690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61094
- Practice address
- 1615 Deleware Street
Longview, WA 98632 - Phone
- (360) 414-7793
- Fax
- (360) 442-6843
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 61094 | WA | Primary |
| Pharmacist | 183500000X | 10670 | OR |
Addresses
Primary practice location
1615 Deleware Street
Longview, WA 98632
Mailing address
9406 NW 22ND CT
Vancouver, WA 98665-9144
Phone (360) 571-0011
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 |
|---|---|---|---|
| 10670 | OR | MD | Pharmacist |
| 61094 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1114138690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9406 NW 22ND CT",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659144",
"telephone_number": "360-571-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELEWARE STREET",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-414-7793",
"fax_number": "360-442-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACBEAN",
"first_name": "ROBERT",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "61094",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "10670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.