Jeffrey Dana Wiedemann, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

12276 Issued in OR

Practice address

1255 NE 48TH Ave
Hillsboro, OR 97124-5008

Phone

(503) 681-2828

Fax

(503) 681-2825

NPI assigned

Oct 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Franciscan Medical Group

  • Family Medicine Physician
  • Gig Harbor, WA
  • NPI 1386602555
  NPD (past)
• Franciscan Medical Group

  • Otolaryngology Physician
  • Gig Harbor, WA
  • NPI 1891901286
  NPD (past)

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": "1578873022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245008",
            "telephone_number": "503-681-2828",
            "fax_number": "503-681-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245008",
            "telephone_number": "503-681-2828",
            "fax_number": "503-681-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMANN",
        "first_name": "JEFFREY",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "12276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Whiteside, PT
• Stephen David Whittaker, M.A
• Michael Whitty, OTR
• Ruby Whorton
• Alyssa Elizabeth Moore Wicknick, DO
• Danielle Anne Wiens, QMHP
• Wilcox Chiropractic Clinic
• Tabitha J Wilder, LMT
• Jillian Joyce Marie Wiley
• Melanie Nicolle Wilhelm, BS, RBT

• Pharmacist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• 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.