Active NPI
Gavin Barry Newbold, PHARMD
- Pharmacist
- Newberg, OR
National Provider Identifier
1679976997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH0014398
- Practice address
- 1840 Portland Rd
Newberg, OR 97132-1847 - Phone
- (503) 538-9360
- NPI assigned
- Sep 30, 2014
- 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 | RPH0014398 | OR | Primary |
Addresses
Primary practice location
1840 Portland Rd
Newberg, OR 97132-1847
Mailing address
4200 SW 107TH Ave Apt 2504
Beaverton, OR 97005-3158
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 |
|---|---|---|---|
| RPH0014398 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1679976997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SW 107TH AVE APT 2504",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970053158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 PORTLAND RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321847",
"telephone_number": "503-538-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBOLD",
"first_name": "GAVIN",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0014398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.