Individual provider Active NPI

Deanna Schalk, RPH

  • Pharmacist
  • Portland, OR
National Provider Identifier
1245640036
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7480 Issued in OR
Practice address
16100 SW 72ND Ave
Portland, OR 97224-7745
Phone
(800) 330-3665
Fax
(800) 982-2730
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7480 OR Primary

Addresses

Primary practice location

16100 SW 72ND Ave
Portland, OR 97224-7745

Mailing address

PO Box 230969
Portland, OR 97281-0969
Phone (800) 330-3665

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7480ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1245640036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230969",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972810969",
            "telephone_number": "800-330-3665",
            "fax_number": "800-982-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247745",
            "telephone_number": "800-330-3665",
            "fax_number": "800-982-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALK",
        "first_name": "DEANNA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7480",
            "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 1, 2014; 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.