Lynn Marie Nishida, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

7580 Issued in OR

Practice address

11494 SE Rimrock Dr
Happy Valley, OR 97086-7154

Phone

(971) 242-9973

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1225699309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11494 SE RIMROCK DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867154",
            "telephone_number": "971-242-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11494 SE RIMROCK DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867154",
            "telephone_number": "971-242-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIDA",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "7580",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lmnishi@aol.com",
            "affiliation": "N",
            "address_1": "11494 SE Rimrock Dr",
            "city": "Happy Valley",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970867154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.