Active NPI
Stephen Kuang, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Salem, OR
National Provider Identifier
1346715836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0016906
- Practice address
- 2400 Lancaster Dr NE
Salem, OR 97305-1297 - Phone
- (503) 813-2000
- NPI assigned
- Oct 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0016906 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0016906 | OR | Primary |
Addresses
Primary practice location
2400 Lancaster Dr NE
Salem, OR 97305-1297
Mailing address
2437 SE 84TH Ave
Portland, OR 97216-1420
Phone (971) 570-6766
Other practice location 1
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
Other practice location 2
5717 NE 138th Ave
Portland, OR 97230-3409
Phone (503) 261-7580
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 |
|---|---|---|---|
| RPH-0016906 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1346715836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2437 SE 84TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972161420",
"telephone_number": "971-570-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973051297",
"telephone_number": "503-813-2000"
}
],
"practiceLocations": [
{
"address_1": "10100 SE Sunnyside Rd",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970158970",
"country_code": "US",
"telephone_number": "800-813-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5717 NE 138th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972303409",
"country_code": "US",
"telephone_number": "503-261-7580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUANG",
"first_name": "STEPHEN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016906",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0016906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.