Active NPI
Ding Ren
- Pharmacist
- Springfield, OR
National Provider Identifier
1568980183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16104
- Practice address
- 2659 Olympic St
Springfield, OR 97477 - Phone
- (541) 744-3085
- Fax
- (541) 744-6677
- NPI assigned
- Sep 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 16104 | OR | |
| Pharmacist | 183500000X | 16104 | OR | Primary |
Addresses
Primary practice location
2659 Olympic St
Springfield, OR 97477
Mailing address
250 F Street Apt 23
Springfield, OR 97477
Phone (918) 853-9286
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16104 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1568980183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 F STREET APT 23",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "97477",
"telephone_number": "918-853-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2659 OLYMPIC ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "97477",
"telephone_number": "541-744-3085",
"fax_number": "541-744-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REN",
"first_name": "DING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-04",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "16104",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "16104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.