Active NPI
Caleb Ekapmand Aiyuk, PHAM. D.
- Pharmacist
- Woodburn, OR
National Provider Identifier
1487253159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0018120
- Practice address
- 1175 Mount Hood Ave
Woodburn, OR 97071-9060 - Phone
- (503) 982-0625
- Fax
- (503) 982-7074
- NPI assigned
- Oct 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0018120 | OR | |
| Pharmacist | 183500000X | RPH-0018120 | OR | Primary |
Addresses
Primary practice location
1175 Mount Hood Ave
Woodburn, OR 97071-9060
Mailing address
14780 SE Crosswater Way
Clackamas, OR 97015-6307
Phone (775) 313-7662
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 |
|---|---|---|---|
| 0018120 | OR | MD | Pharmacist |
| RPH-0018120 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Milton Freewater, OR
- NPI 1851320899
-
- Pharmacy
- Portland, OR
- NPI 1699151506
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1487253159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14780 SE CROSSWATER WAY",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156307",
"telephone_number": "775-313-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 MOUNT HOOD AVE",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970719060",
"telephone_number": "503-982-0625",
"fax_number": "503-982-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIYUK",
"first_name": "CALEB",
"middle_name": "EKAPMAND",
"credential": "PHAM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0018120",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0018120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.