Active NPI
Matthew Elamparo, PHARMD
- Pharmacist
- Vancouver, WA
National Provider Identifier
1245757939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60752003
- Practice address
- 700 NE 87TH Ave
Vancouver, WA 98664-1913 - Phone
- (360) 397-3359
- NPI assigned
- Aug 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60752003 | WA | Primary |
Addresses
Primary practice location
700 NE 87TH Ave
Vancouver, WA 98664-1913
Mailing address
3800 SE 22ND Ave
Pharmacy Mail Stop 04002/34K
Portland, OR 97202-2918
Other practice location 1
11565 SW Pacific Hwy
Tigard, OR 97223-8845
Phone (503) 293-7085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60752003 | Other | WA | WASHINGTO STATE PHARMACIST LICENSE |
| RPH-0016165 | Other | OR | OREGON STATE PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PH60752003 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245757939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 SE 22ND AVE",
"address_2": "PHARMACY MAIL STOP 04002/34K",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972022918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-397-3359"
}
],
"practiceLocations": [
{
"address_1": "11565 SW Pacific Hwy",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972238845",
"country_code": "US",
"telephone_number": "503-293-7085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELAMPARO",
"first_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60752003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTO STATE PHARMACIST LICENSE",
"identifier": "PH60752003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE PHARMACIST LICENSE",
"identifier": "RPH-0016165",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.