Organization Active NPI

KN Drug LLC

  • Long Term Care Pharmacy
  • Portland, OR
National Provider Identifier
1568047330
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KN DRUG LLC
Practice address
5253 SE 82ND Ave Ste 27
Portland, OR 97266-4885
Phone
(503) 477-8453
Fax
(503) 477-8416
NPI assigned
Mar 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Authorized official

Name
Jasmine Nguyen
Title
Owner
Phone
(360) 450-9194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5253 SE 82ND Ave Ste 27
Portland, OR 97266-4885

Mailing address

5253 SE 82ND Ave Ste 27
Portland, OR 97266-4885
Phone (503) 477-8453

Other names 2

  • @Pharmacy.Com Doing business as
  • Pharmacy.Com Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KN Drug LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5253 SE 82nd Ave
Ste 27
Portland, OR 97266
Phone (503) 477-8453

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615593600000",
    "number": "1568047330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 SE 82ND AVE STE 27",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664885",
            "telephone_number": "503-477-8453",
            "fax_number": "503-477-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 SE 82ND AVE STE 27",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664885",
            "telephone_number": "503-477-8453",
            "fax_number": "503-477-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KN DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-450-9194"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "@Pharmacy.Com",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy.Com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 13, 2021; 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.