Active NPI
Steven Max Taggart
- Pharmacy Technician
- Portland, OR
National Provider Identifier
1396264784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT-0009154
- Practice address
- 17972 SW McEwan Rd
Portland, OR 97224-7218 - Phone
- (503) 352-3811
- NPI assigned
- Sep 17, 2017
- Last updated
- Sep 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPT-0009154 | OR | Primary |
Addresses
Primary practice location
17972 SW McEwan Rd
Portland, OR 97224-7218
Mailing address
16125 SW Mason LN
Beaverton, OR 97006-5111
Phone (503) 515-7344
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 |
|---|---|---|---|
| CPT-0009154 | OR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pay Less Compounders LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505606400000",
"number": "1396264784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16125 SW MASON LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065111",
"telephone_number": "503-515-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17972 SW MCEWAN RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247218",
"telephone_number": "503-352-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "STEVEN",
"middle_name": "MAX",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-17",
"last_updated": "2017-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "CPT-0009154",
"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 Sep 17, 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.