NPIMap

Organization Active NPI

KN Drug LLC

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1467793752
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0002780-CS Issued in OR
Legal business name
KN DRUG LLC
Practice address
7901 SE Powell Blvd Ste J&K
Portland, OR 97206-2314
Phone
(503) 384-2475
Fax
(503) 477-6851
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Jasmine Nguyen, PHARMDNPI 1245552983
Title
Pharmacist Owner
Phone
(360) 450-9194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP-0002780-CS OR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

7901 SE Powell Blvd Ste J&K
Portland, OR 97206-2314

Mailing address

7901 SE Powell Blvd Ste J&K
Portland, OR 97206-2314
Phone (503) 384-2475

Other identifiers 3

IdentifierTypeStateIssuer
1467793752MedicaidWA
2139423OtherPK
1467793752-500658023MedicaidOR

Other names 1

  • @PHARMACY.COM Doing business as

National Provider Directory

National Provider Directory

Locations

7901 SE Powell Blvd
Ste J
Portland, OR 97206
Phone (360) 450-9194

7901 SE Powell Blvd
Ste Jk
Portland, OR 97206
Phone (503) 384-2475

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1467793752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SE POWELL BLVD STE J&K",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062314",
            "telephone_number": "503-384-2475",
            "fax_number": "503-477-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SE POWELL BLVD STE J&K",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062314",
            "telephone_number": "503-384-2475",
            "fax_number": "503-477-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KN DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "360-450-9194",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0002780-CS",
            "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": "1467793752",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139423",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467793752-500658023",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "@PHARMACY.COM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "@PHARMACY.COM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2022; 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.