Active NPI
Riley Rafferty, PHARMD
- Pharmacist
- Clackamas, OR
National Provider Identifier
1689495996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0020251
- Practice address
- 16300 SE Evelyn St
Clackamas, OR 97015-9515 - Phone
- (307) 763-2963
- NPI assigned
- Oct 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0020251 | OR | Primary |
| Pharmacist | 183500000X | 4552 | WY |
Addresses
Primary practice location
16300 SE Evelyn St
Clackamas, OR 97015-9515
Mailing address
441 SW Halsey Loop Apt 307
Troutdale, OR 97060-1590
Other practice location 1
1722 Carey Ave
Cheyenne, WY 82001-4420
Phone (307) 514-0200
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-0020251 | OR | MD | Pharmacist |
| 4552 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1689495996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 SW HALSEY LOOP APT 307",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970601590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16300 SE EVELYN ST",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159515",
"telephone_number": "307-763-2963"
}
],
"practiceLocations": [
{
"address_1": "1722 Carey Ave",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820014420",
"country_code": "US",
"telephone_number": "307-514-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFFERTY",
"first_name": "RILEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-19",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0020251",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4552",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.