Active NPI
Angela R Vinti, PHARMD, BCPS
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- West Linn, OR
National Provider Identifier
1295721819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0012872
- Practice address
- 21810 Willamette Dr Unit 200
West Linn, OR 97068-3256 - Phone
- (503) 994-4353
- NPI assigned
- Sep 20, 2005
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 049658 | NY | |
| Pharmacotherapy Pharmacist | 1835P1200X | 15712 | AL | |
| Pharmacotherapy Pharmacist | 1835P1200X | 440607 | PA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 16976 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0012872 | OR | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 60991746 | WA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 0012872 | OR |
Addresses
Primary practice location
21810 Willamette Dr Unit 200
West Linn, OR 97068-3256
Mailing address
21810 Willamette Dr Unit 200
West Linn, OR 97068-3256
Phone (503) 994-4353
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 |
|---|---|---|---|
| 16976 | NC | MD | Professional Counselor |
| 15712 | AL | MD | Pharmacotherapy Pharmacist |
| 049658 | NY | MD | Pharmacotherapy Pharmacist |
| 0012872 | OR | MD | Pharmacotherapy Pharmacist |
| 440607 | PA | MD | Pharmacotherapy Pharmacist |
| 60991746 | WA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Family Catholic Clinic, P.S. | Current | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
21810 Willamette Dr
Ste 200
West Linn, OR 97068
Phone (503) 994-4353
Interoperability endpoints
- https://api.platform.athenahealth.com/22103/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- West Linn, OR
- NPI 1619588175
-
- General Practice Physician
- Portland, OR
- NPI 1912259284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1295721819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21810 WILLAMETTE DR UNIT 200",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683256",
"telephone_number": "503-994-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21810 WILLAMETTE DR UNIT 200",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683256",
"telephone_number": "503-994-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINTI",
"first_name": "ANGELA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2022-07-21",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "049658",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AL",
"license": "15712",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PA",
"license": "440607",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "16976",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "0012872",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "60991746",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OR",
"license": "0012872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.