Active NPI
Bridget M Flavin, PHARM.D.
- Pharmacist
- Portland, OR
National Provider Identifier
1245599182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2011026572
- Practice address
- 2103 W Burnside St
Portland, OR 97210-3519 - Phone
- (503) 295-6480
- NPI assigned
- May 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0012919 | OR | |
| Pharmacist | 183500000X | 2011026572 | MO | Primary |
Addresses
Primary practice location
2103 W Burnside St
Portland, OR 97210-3519
Mailing address
2103 W Burnside St
Portland, OR 97210-3519
Phone (503) 295-6480
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 |
|---|---|---|---|
| 2011026572 | MO | MD | Pharmacist |
| 0012919 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Portland, OR
- NPI 1316952393
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336867200000",
"number": "1245599182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 W BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103519",
"telephone_number": "503-295-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 W BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103519",
"telephone_number": "503-295-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAVIN",
"first_name": "BRIDGET",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-13",
"last_updated": "2012-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0012919",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2011026572",
"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 May 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.