Mallory Alyse Kempton-Hein, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0016025 Issued in OR

Practice address

11956 SW Garden PL
Tigard, OR 97223-8248

Phone

(503) 941-3807

Fax

(503) 941-3809

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mallory.kempton-hein.1@30646.direct.athenahealth.com

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.

• Zoom Care PC

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1972908077
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)
• Longs Drug Stores California LLC

  • Pharmacy
  • Rohnert Park, CA
  • NPI 1114960945
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1366948465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11956 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238248",
            "telephone_number": "503-941-3807",
            "fax_number": "503-941-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11956 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238248",
            "telephone_number": "503-941-3807",
            "fax_number": "503-941-3809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6378 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282404",
            "country_code": "US",
            "telephone_number": "707-586-3494",
            "fax_number": "707-586-0735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPTON-HEIN",
        "first_name": "MALLORY",
        "middle_name": "ALYSE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60901499",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "116592",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75604",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0016025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "0016025",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Doty DDS LLC
• Kelle Debruin Counseling, LLC
• Crystal Kelly
• Desiree Denise Kelly, RDH
• Justin Kemble, QMHP
• Ken R Erickson, M.D.
• Kathleen Kennedy, RN, IBCLC
• Shannon M Kennedy
• Tyler C Kennedy
• Nicole H. Kennelly

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.