Active NPI
Eunyoung Shin
- Pharmacist
- Portland, OR
National Provider Identifier
1699900688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10049
- Practice address
- 3710 SW US Veterans Hospital Rd.
Outpatient Pharmacy
Portland, OR 97239 - Phone
- (503) 220-8262
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 10049 | OR | Primary |
Addresses
Primary practice location
3710 SW US Veterans Hospital Rd.
Outpatient Pharmacy
Portland, OR 97239
Mailing address
3710 SW US Veterans Hospital Rd.
Outpatient Pharmacy
Portland, OR 97239
Phone (503) 220-8262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10049 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1699900688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD.",
"address_2": "OUTPATIENT PHARMACY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-220-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD.",
"address_2": "OUTPATIENT PHARMACY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-220-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "EUNYOUNG",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "10049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.