Individual provider Active NPI

Kayleigh Denise Shorey, CPHT

  • Pharmacy Technician
  • Portland, OR
National Provider Identifier
1235712233
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0007233 Issued in OR
Practice address
10123 SE Market St
Portland, OR 97216-2532
Phone
(503) 261-4403
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0007233 OR Primary

Addresses

Primary practice location

10123 SE Market St
Portland, OR 97216-2532

Mailing address

11806 NE 122ND Ave Apt 47
Vancouver, WA 98682-2257
Phone (541) 556-5643

Other identifiers 1

IdentifierTypeStateIssuer
0007233OtherORCERTIFIED PHARMACY TECHNICIAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rameyk@ah.org

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

LicenseStateTypeSpecialty
0007233ORMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1235712233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 NE 122ND AVE APT 47",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822257",
            "telephone_number": "541-556-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162532",
            "telephone_number": "503-261-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOREY",
        "first_name": "KAYLEIGH",
        "middle_name": "DENISE",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OR",
            "license": "0007233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PHARMACY TECHNICIAN",
            "identifier": "0007233",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rameyk@ah.org",
            "affiliation": "N",
            "endpointDescription": "Work",
            "address_1": "10123 SE Market St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972162532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 2021; 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.