Individual provider Active NPI

Charlene Renee Spiess, RPH

  • Pharmacist
  • Sandy, OR
National Provider Identifier
1720388036
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8042 Issued in OR
Practice address
37601 Highway 26
Sandy, OR 97055-9313
Phone
(503) 668-2336
Fax
(503) 668-2339
NPI assigned
Nov 2, 2010
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8042 OR Primary

Addresses

Primary practice location

37601 Highway 26
Sandy, OR 97055-9313

Mailing address

37601 Highway 26
Sandy, OR 97055-9313
Phone (503) 668-2336

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
8042ORMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1720388036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37601 HIGHWAY 26",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559313",
            "telephone_number": "503-668-2336",
            "fax_number": "503-668-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37601 HIGHWAY 26",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559313",
            "telephone_number": "503-668-2336",
            "fax_number": "503-668-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIESS",
        "first_name": "CHARLENE",
        "middle_name": "RENEE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "8042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.