Active NPI
Juan Gabriel Lopez, PHARM.D.
- Pharmacist
- Beaverton, OR
National Provider Identifier
1144628264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0012306
- Practice address
- 2935 SW Cedar Hills Blvd
Beaverton, OR 97005-1342 - Phone
- (503) 352-6006
- Fax
- (503) 352-6082
- NPI assigned
- Dec 6, 2014
- 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 | RPH-0012306 | OR | Primary |
Addresses
Primary practice location
2935 SW Cedar Hills Blvd
Beaverton, OR 97005-1342
Mailing address
2935 SW Cedar Hills Blvd
Beaverton, OR 97005-1342
Phone (503) 352-6044
Other names 1
- Gabriel Lopez
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 |
|---|---|---|---|
| RPH-0012306 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417824000000",
"number": "1144628264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 SW CEDAR HILLS BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051342",
"telephone_number": "503-352-6044",
"fax_number": "503-352-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 SW CEDAR HILLS BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051342",
"telephone_number": "503-352-6006",
"fax_number": "503-352-6082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JUAN",
"middle_name": "GABRIEL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-06",
"last_updated": "2014-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0012306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIEL",
"last_name": "LOPEZ",
"credential": "PHARM.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.