Active NPI
David C Schalk, RPH
- Pharmacist
- Portland, OR
National Provider Identifier
1144324393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7353
- Practice address
- 1121 NE 2ND Ave
Oregon State Hospital Portland
Portland, OR 97232 - Phone
- (503) 731-8680
- NPI assigned
- Sep 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7353 | OR | Primary |
Addresses
Primary practice location
1121 NE 2ND Ave
Oregon State Hospital Portland
Portland, OR 97232
Mailing address
PO Box 14900
State of Oregon Oregon State Hospital Irs Unit
Salem, OR 97309-5016
Phone (503) 945-9840
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7353 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144324393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14900",
"address_2": "STATE OF OREGON OREGON STATE HOSPITAL IRS UNIT",
"city": "SALEM",
"state": "OR",
"postal_code": "973095016",
"telephone_number": "503-945-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 NE 2ND AVE",
"address_2": "OREGON STATE HOSPITAL PORTLAND",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "503-731-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHALK",
"first_name": "DAVID",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "7353",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.