Active NPI
Rithya Khut
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Wilsonville, OR
National Provider Identifier
1386914174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0013223
- Practice address
- 30300 SW Boones Ferry Rd
Wilsonville, OR 97070-6889 - Phone
- (503) 570-3533
- NPI assigned
- Jan 10, 2012
- 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 | PI-0010578 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0013223 | OR | Primary |
Addresses
Primary practice location
30300 SW Boones Ferry Rd
Wilsonville, OR 97070-6889
Mailing address
30300 SW Boones Ferry Rd
Wilsonville, OR 97070-6889
Phone (503) 570-3533
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI-0010578 | OR | MD | Pharmacist |
| RPH-0013223 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Wilsonville, OR
- NPI 1750676441
-
- Community/Retail Pharmacy
- Lynnwood, WA
- NPI 1558235762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1386914174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30300 SW BOONES FERRY RD",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970706889",
"telephone_number": "503-570-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30300 SW BOONES FERRY RD",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970706889",
"telephone_number": "503-570-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHUT",
"first_name": "RITHYA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "PI-0010578",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0013223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.