Active NPI
Debra Kumm, PHARMD.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Astoria, OR
National Provider Identifier
1609243641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH0014649
- Practice address
- 2120 Exchange St
Suite 101
Astoria, OR 97103-3365 - Phone
- (503) 338-4566
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH0014649 | OR | Primary |
Addresses
Primary practice location
2120 Exchange St
Suite 101
Astoria, OR 97103-3365
Mailing address
2120 Exchange St
Suite 101
Astoria, OR 97103-3365
Phone (503) 338-4566
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 |
|---|---|---|---|
| RPH0014649 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1609243641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 EXCHANGE ST",
"address_2": "SUITE 101",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971033365",
"telephone_number": "503-338-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 EXCHANGE ST",
"address_2": "SUITE 101",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971033365",
"telephone_number": "503-338-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMM",
"first_name": "DEBRA",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH0014649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.