Active NPI
Chanel Ayano
- Pharmacist
- Eugene, OR
National Provider Identifier
1487018743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH-3414
- Practice address
- 2920 Chad Dr
Eugene, OR 97408-7343 - Phone
- (503) 626-9436
- Fax
- (503) 372-1792
- NPI assigned
- Apr 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0014323 | OR | |
| Pharmacist | 183500000X | PH-3414 | HI | Primary |
| Pharmacist | 183500000X | 14017 | NE |
Addresses
Primary practice location
2920 Chad Dr
Eugene, OR 97408-7343
Mailing address
PO Box 230969
Portland, OR 97281-0969
Phone (800) 330-3665
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 |
|---|---|---|---|
| PH-3414 | HI | MD | Pharmacist |
| 14017 | NE | MD | Pharmacist |
| RPH-0014323 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1487018743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230969",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972810969",
"telephone_number": "800-330-3665",
"fax_number": "800-982-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 CHAD DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974087343",
"telephone_number": "503-626-9436",
"fax_number": "503-372-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYANO",
"first_name": "CHANEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0014323",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3414",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14017",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.