Active NPI
David Ni, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1902250145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0016267
- Practice address
- 1132 SW 13TH Ave
Portland, OR 97205 - Phone
- (503) 535-3889
- Fax
- (503) 961-8241
- NPI assigned
- Apr 13, 2016
- 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 | PH60768137 | WA | |
| Pharmacist | 183500000X | RPH-0016267 | OR | Primary |
Addresses
Primary practice location
1132 SW 13TH Ave
Portland, OR 97205
Mailing address
7931 SW 40TH Ave Apt C
Portland, OR 97219-3598
Phone (408) 203-4464
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-0016267 | OR | MD | Pharmacist |
| PH60768137 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1902250145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7931 SW 40TH AVE APT C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193598",
"telephone_number": "408-203-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-535-3889",
"fax_number": "503-961-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NI",
"first_name": "DAVID",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-13",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60768137",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016267",
"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 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.