Jacky Lin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0019953 Issued in OR

Practice address

1821 NE 33Rd Ave
Portland, OR 97212-5113

Phone

(503) 535-6031

NPI assigned

Mar 25, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon CVS Pharmacy LLC

  • Pharmacy
  • Portland, OR
  • NPI 1205423704
  NPD
• Oregon CVS Pharmacy LLC

  • Pharmacy
  • Bend, OR
  • NPI 1497864771
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1457101024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 NW HOYT ST APT 807",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092284",
            "telephone_number": "608-346-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 NE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125113",
            "telephone_number": "503-535-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JACKY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0019953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Yun Lin, DMD
• Emery Lin, M.D.
• Emily M Lin, MD
• Henry Chinghsin Lin, MD
• Ian Lin, PHARM.D
• Jennifer S Lin, MD
• Olivia Lin, MHCA, MFTA
• Wendy Lin, M.D.
• Yijun Lin, RPH
• Yuxin Lin, PHARMD

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.