Andrew Hibbard, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0014909 Issued in OR

Practice address

315 SW 5TH Ave
Portland, OR 97204-1703

Phone

(503) 416-3395

NPI assigned

Aug 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Beacon Health Care Solutions Incorporated

  • Clinical Medical Laboratory
  • North Bend, OR
  • NPI 1114682382
  NPD Authorized official
• Beacon Health Care Solutions Incorporated

  • Pharmacy
  • North Bend, OR
  • NPI 1598302119
  NPD Authorized official
• Gold Beach Pharmacy LLC

  • Community/Retail Pharmacy
  • Gold Beach, OR
  • NPI 1528809886
  NPD Authorized official

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1871960716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66612 ORIOLE RD",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974599490",
            "telephone_number": "269-599-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SW 5TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041703",
            "telephone_number": "503-416-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974592216",
            "country_code": "US",
            "telephone_number": "269-599-0857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-05-16",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OR",
            "license": "RPH-0014909",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0014909",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "OR",
            "license": "RPH-0014909",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER FOR THE STATE OF OREGON",
            "identifier": "RPH0014909",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tess Heyerman
• Megan Bree Heying, BA
• Mayland Chan Heym, R.N.
• Johanna R Heymann, RN, LCSW
• Jordon Heynoski
• Ashley Rae Hibbert, O.D.
• William Hibbitts, N.D.
• David Gerald Hibbs, APRN
• Kelly Erin Hibbs, MA
• Janna Hibler, ND

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.