Active NPI
Henry Marin, RPH
- Pharmacist
- Portland, OR
National Provider Identifier
1194291591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16828
- Practice address
- 4849 NE 138TH Ave
Portland, OR 97230-3401 - Phone
- (503) 257-3935
- NPI assigned
- Oct 23, 2018
- 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 | 16828 | OR | Primary |
Addresses
Primary practice location
4849 NE 138TH Ave
Portland, OR 97230-3401
Mailing address
762 SE 7TH Ave
Hillsboro, OR 97123-4517
Phone (907) 884-7127
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 |
|---|---|---|---|
| 16828 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1194291591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 SE 7TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234517",
"telephone_number": "907-884-7127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 NE 138TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972303401",
"telephone_number": "503-257-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "HENRY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "16828",
"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 Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.