Individual provider Active NPI

Angela R Vinti, PHARMD, BCPS

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • West Linn, OR
National Provider Identifier
1295721819
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
0012872 Issued in OR
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
16976NCMDProfessional Counselor
15712ALMDPharmacotherapy Pharmacist
049658NYMDPharmacotherapy Pharmacist
0012872ORMDPharmacotherapy Pharmacist
440607PAMDPharmacotherapy Pharmacist
60991746WAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Family Catholic Clinic, P.S. CurrentSince Jul 24, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.