Individual provider Active NPI

Serjio Serrano, CPHT

  • Pharmacy Technician
  • Silverton, OR
National Provider Identifier
1710759295
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
CPT-0013973 Issued in OR
Practice address
406 McClaine St
Silverton, OR 97381-1921
Phone
(503) 873-8391
Fax
(503) 873-2900
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CPT-0013973 OR Primary

Addresses

Primary practice location

406 McClaine St
Silverton, OR 97381-1921

Mailing address

828 Shawnee Dr SE
Salem, OR 97317-5977
Phone (503) 983-6597

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

LicenseStateTypeSpecialty
CPT-0013973ORMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Jhso Corporation CurrentSince Oct 29, 2023 Accepting new patients
Jhso Corporation PastSince Oct 29, 2023 Accepting new patients

Locations

406 McClaine St
Silverton, OR 97381
Phone (503) 873-8391

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1710759295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SHAWNEE DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175977",
            "telephone_number": "503-983-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MCCLAINE ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811921",
            "telephone_number": "503-873-8391",
            "fax_number": "503-873-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "SERJIO",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OR",
            "license": "CPT-0013973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.