Active NPI
Kayllie La Pointe, PHARMD.
- Pharmacist
- Clackamas, OR
National Provider Identifier
1396119376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011368
- Practice address
- 16300 SE Evelyn St
Clackamas, OR 97015-9515 - Phone
- (541) 747-6627
- NPI assigned
- Nov 13, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IR 60288702 | WA | |
| Pharmacist | 183500000X | 0011368 | OR | Primary |
Addresses
Primary practice location
16300 SE Evelyn St
Clackamas, OR 97015-9515
Mailing address
16300 SE Evelyn St
Clackamas, OR 97015-9515
Phone (541) 747-6627
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 |
|---|---|---|---|
| 0011368 | OR | MD | Pharmacist |
| IR 60288702 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1396119376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16300 SE EVELYN ST",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159515",
"telephone_number": "541-747-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16300 SE EVELYN ST",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159515",
"telephone_number": "541-747-6627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA POINTE",
"first_name": "KAYLLIE",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR 60288702",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0011368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, 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.