Cullen McClay Smith, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP10723 Issued in OR

Practice address

6025 Jean Rd
Lake Oswego, OR 97035-5307

Phone

(503) 303-7373

NPI assigned

Sep 25, 2024

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cullen McClay Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1487471892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 SE 104TH CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162910",
            "telephone_number": "503-793-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 JEAN RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355307",
            "telephone_number": "503-303-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CULLEN",
        "middle_name": "MCCLAY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RP10723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CULLEN",
            "last_name": "SMITH",
            "middle_name": "MCCLAY",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Adele E Smith, RNFA
• Colin L Smith, DMD
• Gwendolyn Schulze Smith, PT
• Jordan David Smith, M.D.
• Laura Hoverson Smith, PT
• Lynn E Smith, D.M.D.
• Sharla Smith, PTA

• Pharmacist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.