Active NPI
Theresa James, PHARMD
- Pharmacist
- Beaverton, OR
National Provider Identifier
1386897338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0010962
- Practice address
- 9775 SW Gemini Dr
Suite 1
Beaverton, OR 97008-7148 - Phone
- (503) 520-6913
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010962 | OR | Primary |
| Pharmacist | 183500000X | 11551 | NE | |
| Pharmacist | 183500000X | 15871 | CO | |
| Pharmacist | 183500000X | 051.290982 | IL |
Addresses
Primary practice location
9775 SW Gemini Dr
Suite 1
Beaverton, OR 97008-7148
Mailing address
9775 SW Gemini Dr
Suite 1
Beaverton, OR 97008-7148
Phone (503) 520-6913
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 |
|---|---|---|---|
| 15871 | CO | MD | Pharmacist |
| 051.290982 | IL | MD | Pharmacist |
| 11551 | NE | MD | Pharmacist |
| RPH-0010962 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1386897338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9775 SW GEMINI DR",
"address_2": "SUITE 1",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087148",
"telephone_number": "503-520-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9775 SW GEMINI DR",
"address_2": "SUITE 1",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087148",
"telephone_number": "503-520-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "THERESA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010962",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11551",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15871",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.290982",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.