Active NPI
Tien My Thi Ngo, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1538881479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0019191
- Practice address
- 1821 NE 33Rd Ave
Portland, OR 97212-5113 - Phone
- (503) 535-6031
- NPI assigned
- Sep 16, 2022
- Last updated
- Sep 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0019191 | OR | Primary |
Addresses
Primary practice location
1821 NE 33Rd Ave
Portland, OR 97212-5113
Mailing address
1821 NE 33Rd Ave
Portland, OR 97212-5113
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0019191 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon CVS Pharmacy LLC | Current | Accepting new patients | |
| Oregon CVS Pharmacy LLC | Past | Accepting new patients |
Locations
1821 NE 33rd Ave
Portland, OR 97212
Phone (503) 535-6031
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1538881479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 NE 33RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 NE 33RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972125113",
"telephone_number": "503-535-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "TIEN",
"middle_name": "MY THI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0019191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.