Active NPI
Alisha Francine Bulthuis, PHARMD
- Pharmacist
- Roseburg, OR
National Provider Identifier
1669128997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016100
- Practice address
- 2700 NW Stewart Pkwy
Roseburg, OR 97471-1281 - Phone
- (541) 673-0611
- NPI assigned
- Feb 24, 2022
- 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 | 016100 | AZ | Primary |
Addresses
Primary practice location
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Mailing address
1495 Echo Dr
Roseburg, OR 97470-9462
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 |
|---|---|---|---|
| 016100 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1669128997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 ECHO DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974709462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NW STEWART PKWY",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711281",
"telephone_number": "541-673-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULTHUIS",
"first_name": "ALISHA",
"middle_name": "FRANCINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "016100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.