Individual provider Active NPI

Rebecca Wyland, PHARMD

  • Pharmacist
  • Hillsboro, OR
National Provider Identifier
1376953828
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0013660 Issued in OR
Practice address
6495 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8486
Phone
(503) 848-4583
Fax
(503) 848-4577
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0013660 OR Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0013660 OR

Addresses

Primary practice location

6495 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8486

Mailing address

6495 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8486
Phone (503) 848-4583

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0013660ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1376953828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 SE TUALATIN VALLEY HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238486",
            "telephone_number": "503-848-4583",
            "fax_number": "503-848-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 SE TUALATIN VALLEY HWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238486",
            "telephone_number": "503-848-4583",
            "fax_number": "503-848-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLAND",
        "first_name": "REBECCA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0013660",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0013660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.