Fred P Isse, R.PH.

Primary specialty

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

License

7241 Issued in OR

Practice address

10254 SE Terra Linda CT
Happy Valley, OR 97086-6890

Phone

(503) 777-5679

NPI assigned

Nov 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452384000000",
    "number": "1881996189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10254 SE TERRA LINDA CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970866890",
            "telephone_number": "503-449-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10254 SE TERRA LINDA CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970866890",
            "telephone_number": "503-777-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSE",
        "first_name": "FRED",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2016-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "7241",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF PHARMACY",
            "identifier": "7241",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Estera Ianciuc
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• Michael Idowu
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• Shruti Jadeja, DDS
• Andrew Jarmer, PHARMACIST
• Jessica Jensen, MS, CCC-SLP
• Wendy Jimenez
• Joann Lundberg LPC PC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Happy Valley, OR
• Providers in Happy Valley, 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 Jan 10, 2016; 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.