Active NPI
Jatin Yogesh Gandhi, PHARM D
- Pharmacist
- Beaverton, OR
National Provider Identifier
1588091839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14057
- Practice address
- 3601 SW Murray Blvd
Beaverton, OR 97005-2354 - Phone
- (035) 747-4005
- NPI assigned
- Oct 2, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60466765 | WA | |
| Pharmacist | 183500000X | 17947 | MT | |
| Pharmacist | 183500000X | 14057 | OR | Primary |
Addresses
Primary practice location
3601 SW Murray Blvd
Beaverton, OR 97005-2354
Mailing address
3601 SW Murray Blvd
Beaverton, OR 97005-2354
Phone (503) 574-7400
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 |
|---|---|---|---|
| 17947 | MT | MD | Pharmacist |
| 14057 | OR | MD | Pharmacist |
| 60466765 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1588091839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SW MURRAY BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052354",
"telephone_number": "503-574-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW MURRAY BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052354",
"telephone_number": "035-747-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "JATIN",
"middle_name": "YOGESH",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-02",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60466765",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "17947",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "14057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.