Individual provider Active NPI

Pete Parashos

  • Geriatric Pharmacist
  • Portland, OR
National Provider Identifier
1972913713
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
6594 Issued in OR
Practice address
16100 SW 72ND Ave
Portland, OR 97224-7745
Phone
(503) 372-1740
NPI assigned
May 1, 2014
Last updated
May 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6594 OR
Nutrition Support Pharmacist 1835N1003X 6594 OR
Geriatric Pharmacist 1835G0303X 6594 OR Primary

Addresses

Primary practice location

16100 SW 72ND Ave
Portland, OR 97224-7745

Mailing address

16100 SW 72ND Ave
Portland, OR 97224-7745
Phone (503) 372-1740

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

State licenses

LicenseStateTypeSpecialty
6594ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1972913713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247745",
            "telephone_number": "503-372-1740",
            "fax_number": "503-372-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247745",
            "telephone_number": "503-372-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARASHOS",
        "first_name": "PETE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "6594",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "OR",
            "license": "6594",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "OR",
            "license": "6594",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 1, 2014; 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.