Individual provider Active NPI

Paul Mofor Chefor, PHARM.D.

  • Pharmacist
  • Beaverton, OR
National Provider Identifier
1316288277
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0018397 Issued in OR
Practice address
9780 SW Nimbus Ave Ste 9780
Beaverton, OR 97008-7172
Phone
(240) 472-6143
Fax
(503) 671-9445
NPI assigned
Mar 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52646 TX
Pharmacist 183500000X PS48856 FL
Pharmacist 183500000X RPH028180 GA
Pharmacist 183500000X RPH-0018397 OR Primary
Pharmacist 183500000X S020305 AZ

Addresses

Primary practice location

9780 SW Nimbus Ave Ste 9780
Beaverton, OR 97008-7172

Mailing address

9780 SW Nimbus Ave Ste 9780
Beaverton, OR 97008-7172
Phone (240) 472-6143

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
52646TXMDClinical Social Worker
S020305AZMDPharmacist
PS48856FLMDPharmacist
RPH028180GAMDPharmacist
RPH-0018397ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1316288277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 SW NIMBUS AVE STE 9780",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087172",
            "telephone_number": "240-472-6143",
            "fax_number": "501-671-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 SW NIMBUS AVE STE 9780",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087172",
            "telephone_number": "240-472-6143",
            "fax_number": "503-671-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEFOR",
        "first_name": "PAUL",
        "middle_name": "MOFOR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52646",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48856",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028180",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0018397",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.