Shaghayegh B Knopp, PHARM.D.
Individual provider Active NPI Pharmacist · Veneta, OR
NPI 1972613792 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1972613792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0011133 (OR)
- Practice address
- 24991 Highway 126
Veneta, OR 97487-9459 - Phone
- (541) 935-2201
- Fax
- (541) 935-8950
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0011133 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Pharmacies, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0011133 | OR | Yes |
Addresses
Primary practice location
24991 Highway 126
Veneta, OR 97487-9459
Mailing address
24991 Highway 126
Veneta, OR 97487-9459
Phone (541) 935-2201
Other providers in Veneta, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.