Active NPI
Sarvenaz Mohtashami, PHARMACIST (PHARM.D)
- Pharmacist
- Portland, OR
National Provider Identifier
1982096012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0015779
- Practice address
- 7700 NE Ambassador PL
Ste. 103
Portland, OR 97220-1394 - Phone
- (503) 399-8148
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0015779 | OR | Primary |
Addresses
Primary practice location
7700 NE Ambassador PL
Ste. 103
Portland, OR 97220-1394
Mailing address
7700 NE Ambassador PL
Ste. 103
Portland, OR 97220-1394
Phone (503) 399-8148
Other practice location 1
255 Lancaster Dr NE
Salem, OR 97301-5155
Phone (503) 576-8340
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0015779 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1982096012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 NE AMBASSADOR PL",
"address_2": "STE. 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972201394",
"telephone_number": "503-399-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 NE AMBASSADOR PL",
"address_2": "STE. 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972201394",
"telephone_number": "503-399-8148"
}
],
"practiceLocations": [
{
"address_1": "255 Lancaster Dr NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973015155",
"country_code": "US",
"telephone_number": "503-576-8340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHTASHAMI",
"first_name": "SARVENAZ",
"credential": "PHARMACIST (PHARM.D)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0015779",
"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 Feb 10, 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.