Kent Reger Niedens, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0017981 Issued in OR

Practice address

3025 Lancaster Dr NE
Salem, OR 97305-1391

Phone

(503) 378-7720

NPI assigned

Aug 5, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1689284630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 SHIPPING ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017817",
            "telephone_number": "406-579-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051391",
            "telephone_number": "503-378-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDENS",
        "first_name": "KENT",
        "middle_name": "REGER",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-71032",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Rosario Nicolas
• Emma Nicolli, PA-C
• Megan Nicoloff, PSY.D.
• Chunmei Nie, LMT
• Marina Nieblas, QMHA
• Kathryn A Nielsen, RN CNM
• Rachel Nielsen, DPT
• Jacqueline Niemeyer
• Maria Niemuth, DO
• Molly Nienhuis, PT

• Pharmacist in Salem, OR
• Providers in Salem, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.