Active NPI
Amela Brankovic, R.PA RPH
- Pharmacist
- Portland, OR
National Provider Identifier
1417101874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPM-0010122
- Practice address
- 2829 N. Lombard St.
Portland, OR 97217 - Phone
- (503) 737-0317
- Fax
- (503) 737-0324
- NPI assigned
- Nov 12, 2008
- Last updated
- Nov 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPM-0010122 | OR | Primary |
Addresses
Primary practice location
2829 N. Lombard St.
Portland, OR 97217
Mailing address
2829 N. Lombard St.
Portland, OR 97217
Phone (503) 737-0317
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 |
|---|---|---|---|
| RPM-0010122 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226448000000",
"number": "1417101874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 N. LOMBARD ST.",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97217",
"telephone_number": "503-737-0317",
"fax_number": "503-737-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 N. LOMBARD ST.",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97217",
"telephone_number": "503-737-0317",
"fax_number": "503-737-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANKOVIC",
"first_name": "AMELA",
"name_prefix": "Ms.",
"credential": "R.PA RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2008-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPM-0010122",
"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 Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.