Individual provider Active NPI

Elaine Enwards

  • Pharmacist
  • The Dalles, OR
National Provider Identifier
1497123756
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0014492 Issued in OR
Practice address
3300 W 6TH St
The Dalles, OR 97058-4144
Phone
(541) 298-2055
Fax
(541) 298-2060
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0014492 OR Primary
Pharmacist 183500000X PH-00011866 WA

Addresses

Primary practice location

3300 W 6TH St
The Dalles, OR 97058-4144

Mailing address

3300 W 6TH St
The Dalles, OR 97058-4144
Phone (541) 298-2055

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

LicenseStateTypeSpecialty
RPH-0014492ORMDPharmacist
PH-00011866WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1497123756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W 6TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970584144",
            "telephone_number": "541-298-2055",
            "fax_number": "541-298-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W 6TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970584144",
            "telephone_number": "541-298-2055",
            "fax_number": "541-298-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENWARDS",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014492",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH-00011866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.