Active NPI
Dylan Hunter Sunday, CPHT, CCMA
- Pharmacy Technician
- Portland, OR
National Provider Identifier
1346812443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT-0013212
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPT-0013212 | Other | OR | OREGON 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
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-0013212 | OR | MD | Pharmacy 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.