Wayne A Kradjan, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

0009696 Issued in OR

Practice address

1601 SW Jefferson Street
Oregon State University - College of Pharmacy
Corvallis, OR 97331-3507

Phone

(541) 737-5785

Fax

(541) 737-3999

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1548570195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 NW HEATHER DR.",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303009",
            "telephone_number": "541-757-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW JEFFERSON STREET",
            "address_2": "OREGON STATE UNIVERSITY - COLLEGE OF PHARMACY",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973313507",
            "telephone_number": "541-737-5785",
            "fax_number": "541-737-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRADJAN",
        "first_name": "WAYNE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "26714",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OR",
            "license": "0009696",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "00009405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerin S Konkler, NP
• Keelie Korsness, MSC, RDN, LD
• Collin Korthauer
• James Robert Koski, MD, MPH
• Amber Lynn Kovich
• Shawn Kraft
• Kendall Kramer
• Tanya S Kramer, B.S. CADC-I
• Steven Kratka
• Auli Hannele Krayem, LMT

• Pharmacotherapy Pharmacist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Pharmacotherapy Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.