Individual provider Active NPI

Subhash C Tannan, M.S., RPH

  • Pharmacist
  • Portland, OR
National Provider Identifier
1386686939
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14732 Issued in NC
Practice address
3710 SW US Veterans Hospital Rd
Pharmacy Service (P5Phar)
Portland, OR 97239-2964
Phone
(503) 721-1431
Fax
(503) 721-1481
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14732 NC Primary

Addresses

Primary practice location

3710 SW US Veterans Hospital Rd
Pharmacy Service (P5Phar)
Portland, OR 97239-2964

Mailing address

1716 NW Mill Pond Rd
Portland, OR 97229-7549
Phone (503) 297-4737

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
Master of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14732NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386686939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 NW MILL POND RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297549",
            "telephone_number": "503-297-4737",
            "fax_number": "503-297-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SW US VETERANS HOSPITAL RD",
            "address_2": "PHARMACY SERVICE (P5PHAR)",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392964",
            "telephone_number": "503-721-1431",
            "fax_number": "503-721-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNAN",
        "first_name": "SUBHASH",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.S., RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14732",
            "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 Jul 21, 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.