Active NPI
Annie Ratliff Capelle, PHARM.D.
- Geriatric Pharmacist
- Tigard, OR
National Provider Identifier
1215247200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RPH-0011897
- Practice address
- 16100 SW 72ND Ave
Tigard, OR 97224-7745 - Phone
- (503) 626-9436
- Fax
- (503) 372-1792
- NPI assigned
- Oct 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RPH-0011897 | OR | Primary |
Addresses
Primary practice location
16100 SW 72ND Ave
Tigard, OR 97224-7745
Mailing address
11483 SW 90TH Ave
Tigard, OR 97223-6406
Phone (541) 231-8176
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-0011897 | OR | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1215247200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11483 SW 90TH AVE",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236406",
"telephone_number": "541-231-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 SW 72ND AVE",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247745",
"telephone_number": "503-626-9436",
"fax_number": "503-372-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPELLE",
"first_name": "ANNIE",
"middle_name": "RATLIFF",
"name_prefix": "Miss",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-08",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "OR",
"license": "RPH-0011897",
"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 May 16, 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.