Active NPI
Phillip Corra
- Pharmacist
- Portland, OR
National Provider Identifier
1447925136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0007140
- Practice address
- 916 East Evergreen Blvd
Portland, OR 97231 - Phone
- (503) 647-8106
- NPI assigned
- Aug 13, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0007140 | OR | Primary |
Addresses
Primary practice location
916 East Evergreen Blvd
Portland, OR 97231
Mailing address
916 East Evergreen Blvd
Portland, OR 97231
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 |
|---|---|---|---|
| 0007140 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1447925136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 EAST EVERGREEN BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 EAST EVERGREEN BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97231",
"telephone_number": "503-647-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRA",
"first_name": "PHILLIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0007140",
"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 Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.