Individual provider Active NPI

Dylan Hunter Sunday, CPHT, CCMA

  • Pharmacy Technician
  • Portland, OR
National Provider Identifier
1346812443
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
CPT-0013212 Issued in OR
Practice address
1555 N Tomahawk Island Dr
Portland, OR 97217-7912
Phone
(503) 205-9110
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CPT-0013212 OR Primary

Addresses

Primary practice location

1555 N Tomahawk Island Dr
Portland, OR 97217-7912

Mailing address

7150 SW Bel Aire Dr
Beaverton, OR 97008-5932
Phone (503) 608-2706

Other identifiers 1

IdentifierTypeStateIssuer
CPT-0013212OtherOROREGON BOARD OF PHARMACY

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

State licenses

LicenseStateTypeSpecialty
CPT-0013212ORMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1346812443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 SW BEL AIRE DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085932",
            "telephone_number": "503-608-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N TOMAHAWK ISLAND DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177912",
            "telephone_number": "503-205-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAY",
        "first_name": "DYLAN",
        "middle_name": "HUNTER",
        "credential": "CPHT,  CCMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OR",
            "license": "CPT-0013212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF PHARMACY",
            "identifier": "CPT-0013212",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.