Active NPI
Mehrdad Alavi, PHARMD
- Pharmacist
- West Linn, OR
National Provider Identifier
1861025470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0017111
- Practice address
- 19133 Willamette Dr
West Linn, OR 97068-2019 - Phone
- (503) 303-1099
- NPI assigned
- Feb 21, 2020
- Last updated
- Feb 21, 2020
- Sex
- Male
- 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 | PH60974495 | WA | |
| Pharmacist | 183500000X | RPH-0017111 | OR | Primary |
Addresses
Primary practice location
19133 Willamette Dr
West Linn, OR 97068-2019
Mailing address
1098 NE Romane PL Apt 5305
Hillsboro, OR 97006-6072
Phone (818) 359-1582
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0017111 | OR | MD | Pharmacist |
| PH60974495 | WA | MD | Pharmacist |
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": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1861025470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 NE ROMANE PL APT 5305",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "970066072",
"telephone_number": "818-359-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19133 WILLAMETTE DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970682019",
"telephone_number": "503-303-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAVI",
"first_name": "MEHRDAD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60974495",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
- Activeedge Tualatin, LLP (ActiveEDGE Tualatin)
- Gwyn A. Adams, PHARMD
- Adroit Dental (Adroit Family Dental)
- Advance Sports & Spine Therapy LLC
- Advanced Toxicology,LLC
- Ali Ogle, LMT
- Ali Ogle, LMT
- Mariah Allen Flores
- Alpine Natural Therapeutics Incorporated
- Alternative Medicine Center LLC (West Linn Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.