Individual provider Active NPI

Firoz Yusufali Dawoodbhai, RPH

  • Pharmacist
  • Portland, OR
National Provider Identifier
1447460100
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1157143 Issued in MN
Practice address
16100 SW 72ND Ave
Payless Pharmacy
Portland, OR 97224-7745
Phone
(503) 372-1714
Fax
(503) 372-1972
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1157143 MN Primary
Pharmacist 183500000X 12527 OR

Addresses

Primary practice location

16100 SW 72ND Ave
Payless Pharmacy
Portland, OR 97224-7745

Mailing address

7865 SW 186TH Ave
Beaverton, OR 97007-5683
Phone (503) 848-7864

Other names 1

  • Mr. Firoz Dawoodbhai Former name

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
1157143MNMDPharmacist
12527ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1447460100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 SW 186TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075683",
            "telephone_number": "503-848-7864",
            "fax_number": "503-372-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SW 72ND AVE",
            "address_2": "PAYLESS PHARMACY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247745",
            "telephone_number": "503-372-1714",
            "fax_number": "503-372-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWOODBHAI",
        "first_name": "FIROZ",
        "middle_name": "YUSUFALI",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "1157143",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "12527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIROZ",
            "last_name": "DAWOODBHAI",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 29, 2016; 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.