Active NPI
Bobbi Erin Doughton, PHARM.D.
- Pharmacist
- Portland, OR
National Provider Identifier
1124216445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5566092-1701
- Practice address
- 600 NW 10TH Ave
Portland, OR 97209-3202 - Phone
- (503) 227-4835
- Fax
- (503) 227-2378
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-14667 | MT | |
| Pharmacist | 183500000X | 5566092-1701 | UT | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0014732 | OR |
Addresses
Primary practice location
600 NW 10TH Ave
Portland, OR 97209-3202
Mailing address
600 NW 10TH Ave
Portland, OR 97209-3202
Phone (503) 227-4835
Other names 1
- Bobbi Erin Ballard
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 |
|---|---|---|---|
| PHA-PHA-LIC-14667 | MT | MD | Pharmacist |
| 5566092-1701 | UT | MD | Pharmacist |
| RPH-0014732 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1780690099
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1124216445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NW 10TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093202",
"telephone_number": "503-227-4835",
"fax_number": "503-227-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NW 10TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093202",
"telephone_number": "503-227-4835",
"fax_number": "503-227-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHTON",
"first_name": "BOBBI",
"middle_name": "ERIN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-14667",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "5566092-1701",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0014732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBI",
"last_name": "BALLARD",
"middle_name": "ERIN",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 10, 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.