Individual provider Active NPI

Alison Marie Reta, PHARMD, CDCES

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Hillsboro, OR
National Provider Identifier
1497076137
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
61156 Issued in OR
Practice address
364 SE 8TH Ave Ste 301
Hillsboro, OR 97123-4250
Phone
(503) 681-4233
Fax
(503) 681-4234
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61156 OR
Ambulatory Care Pharmacist 1835P2201X 61156 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 61156 OR Primary

Addresses

Primary practice location

364 SE 8TH Ave Ste 301
Hillsboro, OR 97123-4250

Mailing address

364 SE 8TH Ave Ste 301
Hillsboro, OR 97123-4250
Phone (503) 681-4233

Other practice location 1

1825 Maple St
Forest Grove, OR 97116-1939
Phone (503) 357-2136

Other practice location 2

7529 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8252
Phone (503) 681-4240

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
61156ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1497076137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SE 8TH AVE STE 301",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234250",
            "telephone_number": "503-681-4233",
            "fax_number": "503-681-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SE 8TH AVE STE 301",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234250",
            "telephone_number": "503-681-4233",
            "fax_number": "503-681-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Maple St",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161939",
            "country_code": "US",
            "telephone_number": "503-357-2136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7529 SE Tualatin Valley Hwy",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971238252",
            "country_code": "US",
            "telephone_number": "503-681-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETA",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "61156",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OR",
            "license": "61156",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "61156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.