Active NPI
Austin Ulrich, PHARMACIST
- Pharmacist
- Beaverton, OR
National Provider Identifier
1215593355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0016754
- Practice address
- 2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435 - Phone
- (503) 352-6000
- Fax
- (503) 352-6080
- NPI assigned
- May 14, 2019
- Last updated
- May 14, 2019
- 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-0016754 | OR | Primary |
Addresses
Primary practice location
2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435
Mailing address
PO Box 6149
Aloha, OR 97007-0149
Phone (503) 352-8657
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0016754 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1215593355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6149",
"city": "ALOHA",
"state": "OR",
"postal_code": "970070149",
"telephone_number": "503-352-8657",
"fax_number": "503-434-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 SW CEDAR HILLS BLVD STE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051435",
"telephone_number": "503-352-6000",
"fax_number": "503-352-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "AUSTIN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.