Active NPI
Huyen (Wendy) B Mai, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1902039209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-10485
- Practice address
- 12215 SE Powell Blvd
Walgreens #4943
Portland, OR 97236-3429 - Phone
- (503) 760-2855
- Fax
- (503) 760-2959
- NPI assigned
- Sep 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-10485 | OR | Primary |
Addresses
Primary practice location
12215 SE Powell Blvd
Walgreens #4943
Portland, OR 97236-3429
Mailing address
12215 SE Powell Blvd
Walgreens #4943
Portland, OR 97236-3429
Phone (503) 760-2855
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-10485 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1902039209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12215 SE POWELL BLVD",
"address_2": "WALGREENS #4943",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363429",
"telephone_number": "503-760-2855",
"fax_number": "503-760-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12215 SE POWELL BLVD",
"address_2": "WALGREENS #4943",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363429",
"telephone_number": "503-760-2855",
"fax_number": "503-760-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "HUYEN (WENDY)",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-10485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.