Individual provider Active NPI

Vivian Thao Phuong Chau, PHARMD

  • Pharmacist
  • Cornelius, OR
National Provider Identifier
1316588809
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0017861 Issued in OR
Practice address
1151 N Adair St
Cornelius, OR 97113-8900
Phone
(503) 359-5564
NPI assigned
Oct 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P8531 ID
Pharmacist 183500000X RPH-0017861 OR Primary

Addresses

Primary practice location

1151 N Adair St
Cornelius, OR 97113-8900

Mailing address

20629 NW Painted Mountain Dr
Beaverton, OR 97006-2028
Phone (503) 707-9042

Other practice location 1

222 SE 8th Ave
Hillsboro, OR 97123-4218
Phone (503) 357-6151

Other practice location 2

2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435
Phone (503) 352-6000

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
P8531IDMDPharmacist
RPH-0017861ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1316588809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20629 NW PAINTED MOUNTAIN DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970062028",
            "telephone_number": "503-707-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N ADAIR ST",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971138900",
            "telephone_number": "503-359-5564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 SE 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234218",
            "country_code": "US",
            "telephone_number": "503-357-6151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 SW Cedar Hills Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051435",
            "country_code": "US",
            "telephone_number": "503-352-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "VIVIAN",
        "middle_name": "THAO PHUONG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P8531",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.