Michael Owen Fry, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0014515 Issued in OR

Practice address

10670 NE Cornell Rd Ste 102
Hillsboro, OR 97124-9221

Phone

(503) 216-9020

Fax

(503) 216-9029

NPI assigned

Jul 9, 2010

Sex

Male

Sole proprietor

Yes

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

Doctor of Pharmacy

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.

• Credena Health LLC

  • Community/Retail Pharmacy
  • Hillsboro, OR
  • NPI 1265708812
  NPD (past)
• Credena Health LLC

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1982342226
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1376855056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MORNINGSIDE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061070",
            "telephone_number": "412-362-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 NE CORNELL RD STE 102",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249221",
            "telephone_number": "503-216-9020",
            "fax_number": "503-216-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "MICHAEL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438737",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Fritzen, OTR/L
• From the Ashes Support Services LLC
• Monica Froman-Reid, PH.D
• Margaret Claire Fromuth, LMFT
• Marcia Mueller Frost, MS, CCC-SLP
• Christina Fuchs, PMHNP-BC
• Josefa Ruperta Fuentes Juarez
• Angella Nicole Fuge, ATC/R
• Kevin Yukio Fujimoto, DPT
• Marissa Fukuhara, MS, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.