Active NPI
Walgreens
- Community/Retail Pharmacy
- Beaverton, OR
National Provider Identifier
1295018455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WALGREENS
- Practice address
- 19975 SW Tualatin Valley Hwy
Beaverton, OR 97006-2323 - Phone
- (503) 848-7297
- NPI assigned
- Sep 23, 2011
- Last updated
- Sep 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Pham, PHARM.D
- Title
- Pharmacist
- Phone
- (503) 848-7297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
19975 SW Tualatin Valley Hwy
Beaverton, OR 97006-2323
Mailing address
19975 SW Tualatin Valley Hwy
Beaverton, OR 97006-2323
National Provider Directory
National Provider DirectoryLocations
19975 SW Tualatin Valley Hwy
Beaverton, OR 97003
Phone (503) 848-7297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1295018455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19975 SW TUALATIN VALLEY HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970062323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19975 SW TUALATIN VALLEY HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970062323",
"telephone_number": "503-848-7297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "503-848-7297",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
- Corey Walden, LMT
- Lisa Walden, MSW
- Waleed Almulla Dental Services, LLC (Canyon Creek Dental Services)
- Walgreen Co (Walgreens #06370)
- Walgreen Co (Walgreens #15403)
- Walgreens Specialty Pharmacy LLC (AllianceRX Walgreens Prime #12314)
- Walgreens Specialty Pharmacy LLC (Walgreen Specialty Pharmacy #12314)
- Walker Road Chiropractic PC
- Aidan Kyle Walker
- Scott R Walker, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.