Active NPI
Elysia Jones, PHARMD RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Salem, OR
National Provider Identifier
1740657303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0014870
- Practice address
- 3450 Commercial St SE
Salem, OR 97302-4635 - Phone
- (503) 585-3533
- Fax
- (503) 585-3541
- NPI assigned
- Aug 28, 2015
- 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-0014870 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0014870 | OR | Primary |
Addresses
Primary practice location
3450 Commercial St SE
Salem, OR 97302-4635
Mailing address
3450 Commercial St SE
Salem, OR 97302-4635
Phone (503) 585-3533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0014870 | Other | OR | OREGON PHARMACIST LICENSE NUMBER |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0014870 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Salem, OR
- NPI 1154367019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1740657303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024635",
"telephone_number": "503-585-3533",
"fax_number": "503-585-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024635",
"telephone_number": "503-585-3533",
"fax_number": "503-585-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ELYSIA",
"credential": "PHARMD RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0014870",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0014870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON PHARMACIST LICENSE NUMBER",
"identifier": "RPH-0014870",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.