Individual provider Active NPI

Jerry Huff Jr.

  • Pharmacist
  • Wilsonville, OR
National Provider Identifier
1760715957
Registry record updated Sep 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0011359 Issued in OR
Practice address
9450 SW Wilsonville Rd
Wilsonville, OR 97070-7585
Phone
(503) 582-1498
Fax
(503) 582-1589
NPI assigned
Sep 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0011359 OR Primary

Addresses

Primary practice location

9450 SW Wilsonville Rd
Wilsonville, OR 97070-7585

Mailing address

9450 SW Wilsonville Rd
Wilsonville, OR 97070-7585

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
RPH-0011359ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co 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.

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252281600000",
    "number": "1760715957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW WILSONVILLE RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 SW WILSONVILLE RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707585",
            "telephone_number": "503-582-1498",
            "fax_number": "503-582-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "JERRY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-07",
        "last_updated": "2009-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0011359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.