Pharmacy Dot Com 82ND

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY DOT COM 82ND

Doing business as

Pharmacy Dot Com 82nd

Practice address

5253 SE 82ND Ave
Portland, OR 97266-4862

Phone

(503) 477-8453

Fax

(503) 477-8416

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Jasmine NguyenNPI 1245552983

Title

Owner/Manager

Phone

(360) 450-9194

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pharmacy Dot Com 82nd Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Nguyen, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Portland, OR
  • NPI 1245552983
  NPD Authorized official
• Vy Tuong Tran, RPH

  • Pharmacist
  • Portland, OR
  • NPI 1649994310
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1457901498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 SE 82ND AVE UNIT 27",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664885",
            "telephone_number": "503-477-8453",
            "fax_number": "503-477-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664862",
            "telephone_number": "503-477-8453",
            "fax_number": "503-477-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY DOT COM 82ND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "360-450-9194"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500772894",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Dot Com 82nd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Anna Phariss, LCSW
• Pharmaca
• Pharmaca Integrative Pharmacy, Inc.
• Pharmacare Prescriptions Inc
• Pharmacy Acquisition Co., LLC
• Matthew Pharris
• Erin Ella Phelan, LMT
• Linda Ann Phelan, RD,CSR,LD
• Pamela J Phelan, PAC
• Erika Susan Phelps Nishiguchi, MD

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.