Active NPI
Malachi David Hooper
- Pharmacy Technician
- Bend, OR
National Provider Identifier
1487359642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T-0027820
- Practice address
- 2275 NE Doctors Dr Ste 10
Bend, OR 97701-6324 - Phone
- (541) 288-9708
- NPI assigned
- Apr 4, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T-0027820 | OR | Primary |
Addresses
Primary practice location
2275 NE Doctors Dr Ste 10
Bend, OR 97701-6324
Mailing address
56 NW Portland Ave Apt 1
Bend, OR 97703-1846
Phone (541) 640-0324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1719090 | Other | OR | NABP ID |
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 |
|---|---|---|---|
| T-0027820 | OR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1487359642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 NW PORTLAND AVE APT 1",
"city": "BEND",
"state": "OR",
"postal_code": "977031846",
"telephone_number": "541-640-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR STE 10",
"city": "BEND",
"state": "OR",
"postal_code": "977016324",
"telephone_number": "541-288-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "MALACHI",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-04",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "T-0027820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP ID",
"identifier": "1719090",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.