Active NPI
Madeline Fry, PHARM.D.
- Pharmacist
- Oregon City, OR
National Provider Identifier
1689040727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0014191
- Practice address
- 1425 Beavercreek Rd
Oregon City, OR 97045-4076 - Phone
- (503) 655-8471
- NPI assigned
- Aug 12, 2015
- Last updated
- Aug 12, 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 | 183500000X | RPH-0014191 | OR | Primary |
Addresses
Primary practice location
1425 Beavercreek Rd
Oregon City, OR 97045-4076
Mailing address
315 SW 5TH Ave
Suite 900
Portland, OR 97204-1753
Phone (503) 416-5819
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-0014191 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1689040727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 SW 5TH AVE",
"address_2": "SUITE 900",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041753",
"telephone_number": "503-416-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 BEAVERCREEK RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454076",
"telephone_number": "503-655-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "MADELINE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0014191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.