Emmanuel Chukwuemeka Amadi, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

8255 Issued in OR

Practice address

4325 SE 82ND Ave
Portland, OR 97266-2919

Phone

(503) 775-9603

Fax

(503) 771-0988

NPI assigned

May 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Portland, OR
  • NPI 1962417949
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1366735995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662919",
            "telephone_number": "503-775-9603",
            "fax_number": "503-771-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662919",
            "telephone_number": "503-775-9603",
            "fax_number": "503-771-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADI",
        "first_name": "EMMANUEL",
        "middle_name": "CHUKWUEMEKA",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OR",
            "license": "8255",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "8255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaney Alvord
• Alycen Davis Therapy LLC
• Alyssa Moore Counseling LLC
• Sakha Alzadjali
• C a Leon Alzola, RPH
• Deron Trent Amador, M.D.
• Victoria Amador, F.N.P.
• Monica Kenzie Amadou Tidjani Abdou
• Soroush Amali
• Amanda Antenucci Counseling LLC

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.