Active NPI
Dave Quoc Tai Lindqvist, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1588252191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0018063
- Practice address
- 1555 N Tomahawk Island Dr
Portland, OR 97217-7912 - Phone
- (503) 205-9110
- NPI assigned
- Jan 8, 2021
- Last updated
- Oct 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0018063 | OR | Primary |
Addresses
Primary practice location
1555 N Tomahawk Island Dr
Portland, OR 97217-7912
Mailing address
11190 SW Barnes Rd
Portland, OR 97225-5372
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 |
|---|---|---|---|
| RPH-0018063 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1588252191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11190 SW BARNES RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 N TOMAHAWK ISLAND DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972177912",
"telephone_number": "503-205-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDQVIST",
"first_name": "DAVE",
"middle_name": "QUOC TAI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-08",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0018063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 22, 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.