Individual provider Active NPI

Kelly Ann Sloop

  • Pharmacist
  • Canby, OR
National Provider Identifier
1467708354
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7727 Issued in OR
Practice address
294 NW 2ND Ave
Canby, OR 97013-3624
Phone
(503) 266-2233
Fax
(503) 266-1142
NPI assigned
Jul 27, 2012
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7727 OR Primary

Addresses

Primary practice location

294 NW 2ND Ave
Canby, OR 97013-3624

Mailing address

20565 Fernview Rd
West Linn, OR 97068-9257
Phone (503) 657-4641

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

LicenseStateTypeSpecialty
7727ORMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1467708354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20565 FERNVIEW RD",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970689257",
            "telephone_number": "503-657-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 NW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133624",
            "telephone_number": "503-266-2233",
            "fax_number": "503-266-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOOP",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.