Active NPI
Brock Parker
- Pharmacist
- Milwaukie, OR
National Provider Identifier
1467002998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0017456
- Practice address
- 10860 SE Oak St
Milwaukie, OR 97222-6694 - Phone
- (503) 652-8058
- NPI assigned
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- No
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 | RPH-0017456 | OR | Primary |
Addresses
Primary practice location
10860 SE Oak St
Milwaukie, OR 97222-6694
Mailing address
14625 SW Allen Blvd
Beaverton, OR 97007-3697
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brock.c.parker@riteaid.com | Direct | Rite Aid Corporation |
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 |
|---|---|---|---|
| RPH-0017456 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1467002998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14625 SW ALLEN BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970073697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10860 SE OAK ST",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226694",
"telephone_number": "503-652-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "BROCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-17",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017456",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brock.c.parker@riteaid.com",
"affiliation": "Y",
"endpointDescription": "Pharmacy Email",
"affiliationName": "Rite Aid Corporation",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "10860 SE Oak St",
"city": "Milwaukie",
"state": "OR",
"country_code": "US",
"postal_code": "972226694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.