Ken Doan

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0014832 Issued in OR

Practice address

10000 SE 82ND Ave
Happy Valley, OR 97086-2304

Phone

(503) 788-4757

NPI assigned

Dec 17, 2019

Last updated

Dec 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kdoan.s05440.us@wal-mart.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart

  • Community/Retail Pharmacy
  • Happy Valley, OR
  • NPI 1013387794
  Authorized official Same address or phone

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1487292702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE 82ND AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862304",
            "telephone_number": "503-788-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE 82ND AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970862304",
            "telephone_number": "503-788-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "KEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kdoan.s05440.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "Wal-Mart email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10000 SE 82nd Ave",
            "city": "Happy Valley",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970862304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Dillard, NURSE PRACTITIONER
• Distinctive Dentistry, LLC (Distinctive Dentistry)
• DJR 24Hourrs Residential LLC
• DNB Holdings, LLC (RENU Chiropractic Health)
• My-Trinh DO
• Michael Alan Doogan, MA TRANSPERSONAL STU
• Dominic Jerome Dorazio, O.D.
• Double Vision Inc (Happy Valley Vision Source)
• Kenneth Gregory Downing, D.M.D.
• Dr. Han Tran & Associates, P.C.

• Pharmacist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.