Aaron P Avon, PHARMD
Individual provider Active NPI Pharmacist · Corvallis, OR
NPI 1972876647 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1972876647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0011345 (OR)
- Practice address
- 2045 NW 9TH St
Corvallis, OR 97330-1460 - Phone
- (541) 752-2468
- Fax
- (541) 757-8150
- NPI assigned
- Feb 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 20806 | IA | MD | Pharmacist |
| 0011345 | OR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0011345 | OR | Yes |
| Pharmacist | 183500000X | 20806 | IA |
Addresses
Primary practice location
2045 NW 9TH St
Corvallis, OR 97330-1460
Mailing address
2045 NW 9TH St
Corvallis, OR 97330-1460
Phone (541) 752-2468
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20806 | Other | IA | STATE PHARMACIST LICENSE |
| 0011345 | Other | OR | STATE PHARMACIST LICENSE |
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. 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.