Active NPI
Kathleen Dehart, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Hood River, OR
National Provider Identifier
1750782058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 8776
- Practice address
- 2700 Wasco St
Hood River, OR 97031-1049 - Phone
- (541) 387-2333
- Fax
- (541) 387-2332
- NPI assigned
- Sep 6, 2014
- Last updated
- Nov 15, 2018
- 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 | 8776 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 8776 | OR | Primary |
Addresses
Primary practice location
2700 Wasco St
Hood River, OR 97031-1049
Mailing address
2700 Wasco St
Hood River, OR 97031-1049
Phone (541) 387-2333
Other practice location 1
17711 Jean Way
Lake Oswego, OR 97035-5305
Phone (503) 303-6878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8776 | Other | OR | PHARCIST LICENSE |
Other names 1
- Kathleen Sanders
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8776 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1750782058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WASCO ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311049",
"telephone_number": "541-387-2333",
"fax_number": "541-387-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WASCO ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311049",
"telephone_number": "541-387-2333",
"fax_number": "541-387-2332"
}
],
"practiceLocations": [
{
"address_1": "17711 Jean Way",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970355305",
"country_code": "US",
"telephone_number": "503-303-6878",
"fax_number": "503-303-1037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEHART",
"first_name": "KATHLEEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-06",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "8776",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "8776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARCIST LICENSE",
"identifier": "8776",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "SANDERS",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.