Active NPI
Scott H Devlin, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Beaverton, OR
National Provider Identifier
1316368186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0016702
- Practice address
- 10775 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3001 - Phone
- (503) 207-0646
- NPI assigned
- Dec 22, 2013
- Last updated
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80588 | CA | |
| Pharmacist | 183500000X | RPH-0016702 | OR | |
| Pharmacist | 183500000X | PH60865032 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH60865032 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0016702 | OR | Primary |
Addresses
Primary practice location
10775 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3001
Mailing address
10775 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3001
Phone (503) 207-0646
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2170990 | Medicaid | WA | |
| PH60865032 | Other | WA | PHARMACIST LICENSE |
| RPH-0016702 | Other | OR | PHARMACIST LICENSE |
| 80588 | Other | CA | 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 |
|---|---|---|---|
| 80588 | CA | MD | Pharmacist |
| RPH-0016702 | OR | MD | Pharmacist |
| PH60865032 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon CVS Pharmacy LLC | Past | Accepting new patients | |
| Oregon CVS Pharmacy LLC | Past | Accepting new patients | |
| Oregon CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1316368186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10775 SW BEAVERTON HILLSDALE HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053001",
"telephone_number": "503-207-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10775 SW BEAVERTON HILLSDALE HWY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053001",
"telephone_number": "503-207-0646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "SCOTT",
"middle_name": "H",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-22",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80588",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016702",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60865032",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH60865032",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0016702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2170990",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH60865032",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RPH-0016702",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "80588",
"state": "CA"
}
],
"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 Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.