Active NPI
Darren Flyckt, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1386195949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00040711
- Practice address
- 5717 NE 138TH Ave
Portland, OR 97230-3499 - Phone
- (360) 553-9275
- NPI assigned
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0012933 | OR | |
| Pharmacist | 183500000X | PH00040711 | WA | Primary |
Addresses
Primary practice location
5717 NE 138TH Ave
Portland, OR 97230-3499
Mailing address
5717 NE 138TH Ave
Portland, OR 97230-3499
Phone (360) 553-9275
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0012933 | OR | MD | Pharmacist |
| PH00040711 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1386195949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 NE 138TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972303499",
"telephone_number": "360-553-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5717 NE 138TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972303499",
"telephone_number": "360-553-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYCKT",
"first_name": "DARREN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0012933",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00040711",
"primary": true
}
],
"identifiers": [],
"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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.