Individual provider Active NPI

Kevin Stuart Cheiman, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Tillamook, OR
National Provider Identifier
1427564582
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
0016286 Issued in OR
Practice address
1815 4TH St
Tillamook, OR 97141-2210
Phone
(503) 842-5934
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16286 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0016286 OR Primary

Addresses

Primary practice location

1815 4TH St
Tillamook, OR 97141-2210

Mailing address

5450 South Ave NW
Tillamook, OR 97141-9335
Phone (561) 283-9387

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16286ORMDPharmacist
0016286ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1427564582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 SOUTH AVE NW",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419335",
            "telephone_number": "561-283-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 4TH ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412210",
            "telephone_number": "503-842-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEIMAN",
        "first_name": "KEVIN",
        "middle_name": "STUART",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "16286",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0016286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.