Active NPI
Jennifer Lukowski, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1609300219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0016618
- Practice address
- 8145 SE 17TH Ave
Portland, OR 97202-6718 - Phone
- (503) 382-2253
- NPI assigned
- Apr 20, 2017
- Last updated
- Dec 29, 2020
- 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 | 183500000X | RPH-0016618 | OR | Primary |
Addresses
Primary practice location
8145 SE 17TH Ave
Portland, OR 97202-6718
Mailing address
8145 SE 17TH Ave
Portland, OR 97202-6718
Phone (503) 382-2253
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-0016618 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon CVS Pharmacy LLC | Current | Accepting new patients | |
| Oregon CVS Pharmacy LLC | Past | Accepting new patients |
Locations
8145 SE 17th Ave
Portland, OR 97202
Phone (503) 382-2253
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1609300219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8145 SE 17TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026718",
"telephone_number": "503-382-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8145 SE 17TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026718",
"telephone_number": "503-382-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKOWSKI",
"first_name": "JENNIFER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-20",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016618",
"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 Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.