Cameron John Brock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0015475 Issued in OR

Practice address

1255 NE 48TH Ave
Hillsboro, OR 97124-5008

Phone

(503) 681-2800

NPI assigned

Oct 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Hillsboro, OR
  • NPI 1225589856
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1972053148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14716 SW BEARD RD APT 309",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076200",
            "telephone_number": "602-821-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245008",
            "telephone_number": "503-681-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "CAMERON",
        "middle_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0015475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Bright I
• Timothy Oberlin Brinker, PHYSICAL THERAPIST
• Sydney Catherine Briot, CSWA
• Courtney Briscoe
• Jennifer Lynn Brissenden, QMHA, CADC I
• Yulia Brockdorf, RD LD CD LPC BCADM
• Rachel Germaine Broderick, RDH, EPDH
• Trina A Brodsky, MD
• Christina M Brogna, D.C.
• Kaitlin Brooke, MD

• Pharmacist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.