Individual provider Active NPI

Edward Vient, RPH

  • Pharmacist
  • Portland, OR
National Provider Identifier
1902453020
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0017377 Issued in OR
Practice address
9401 NE Cascades Pkwy
Portland, OR 97220-6824
Phone
(971) 230-1931
Fax
(971) 230-1941
NPI assigned
Aug 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0017377 OR Primary

Addresses

Primary practice location

9401 NE Cascades Pkwy
Portland, OR 97220-6824

Mailing address

9401 NE Cascades Pkwy
Portland, OR 97220-6824
Phone (480) 250-4002

Other identifiers 1

IdentifierTypeStateIssuer
500795536MedicaidOR

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH-0017377ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1902453020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 NE CASCADES PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972206824",
            "telephone_number": "480-250-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 NE CASCADES PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972206824",
            "telephone_number": "971-230-1931",
            "fax_number": "971-230-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIENT",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500795536",
            "state": "OR"
        }
    ],
    "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 28, 2021; 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.