Active NPI
Eduard Scheckmann
- Pharmacist
- Tigard, OR
National Provider Identifier
1114351897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0013752
- Practice address
- 9009 SW Hall Blvd
T-0345
Tigard, OR 97223-4432 - Phone
- (503) 624-0273
- NPI assigned
- Aug 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0013752 | OR | Primary |
Addresses
Primary practice location
9009 SW Hall Blvd
T-0345
Tigard, OR 97223-4432
Mailing address
11795 SW Tualatin Rd Apt 35
Tualatin, OR 97062-7095
Phone (503) 473-7368
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0013752 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1114351897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11795 SW TUALATIN RD APT 35",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627095",
"telephone_number": "503-473-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009 SW HALL BLVD",
"address_2": "T-0345",
"city": "TIGARD",
"state": "OR",
"postal_code": "972234432",
"telephone_number": "503-624-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHECKMANN",
"first_name": "EDUARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0013752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.