Active NPI
Amiel Jandy Angelo, PHARMD
- Pharmacist
- Vancouver, WA
National Provider Identifier
1972465730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH70000890
- Practice address
- 7411 NE 117TH Ave
Vancouver, WA 98662-4706 - Phone
- (360) 896-3533
- NPI assigned
- Dec 1, 2025
- Last updated
- Dec 1, 2025
- 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 | RPH-0020739 | OR | |
| Pharmacist | 183500000X | PH70000890 | WA | Primary |
Addresses
Primary practice location
7411 NE 117TH Ave
Vancouver, WA 98662-4706
Mailing address
3800 SE 22ND Ave
Mail Stop 04002/34K
Portland, OR 97202-2999
Other practice location 1
3030 NE Weidler St
Portland, OR 97232-1851
Phone (503) 280-1333
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-0020739 | OR | MD | Pharmacist |
| PH70000890 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc | Past | Accepting new patients | |
| Fred Meyer Stores Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Fred Meyer Pharmacy
- Community/Retail Pharmacy
- Vancouver, WA
- NPI 1437194826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1972465730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 SE 22ND AVE",
"address_2": "MAIL STOP 04002/34K",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972022999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7411 NE 117TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986624706",
"telephone_number": "360-896-3533"
}
],
"practiceLocations": [
{
"address_1": "3030 NE Weidler St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972321851",
"country_code": "US",
"telephone_number": "503-280-1333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGELO",
"first_name": "AMIEL JANDY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0020739",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH70000890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.