Active NPI
Jasmine Nguyen, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Portland, OR
National Provider Identifier
1245552983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH0013430P
- Practice address
- 7901 SE Powell Blvd Ste J
Portland, OR 97206-2314 - Phone
- (360) 450-9194
- NPI assigned
- Feb 22, 2010
- Last updated
- Sep 5, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0013430 | OR | |
| Pharmacist | 183500000X | PH00067943 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH0013430P | OR | Primary |
Addresses
Primary practice location
7901 SE Powell Blvd Ste J
Portland, OR 97206-2314
Mailing address
10275 SE Crescent Ridge Loop
Happy Valley, OR 97086-3044
Phone (360) 450-9194
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-0013430 | OR | MD | Pharmacist |
| PH00067943 | WA | MD | Pharmacist |
| RPH0013430P | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Dot Com 82ND | Current | Accepting new patients | |
| Hillsboro Pharmacy & Fountain | Current | Accepting new patients | |
| KN Drug LLC | Past | Accepting new patients |
Locations
7901 SE Powell Blvd
Ste J
Portland, OR 97206
Phone (360) 450-9194
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Hillsboro, OR
- NPI 1881326957
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1457901498
-
- Community/Retail Pharmacy
- Hillsboro, OR
- NPI 1972615987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630800000000",
"number": "1245552983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10275 SE CRESCENT RIDGE LOOP",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970863044",
"telephone_number": "360-450-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 SE POWELL BLVD STE J",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062314",
"telephone_number": "360-450-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JASMINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0013430",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00067943",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH0013430P",
"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 Sep 5, 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.