Individual provider Active NPI

Sarvenaz Mohtashami, PHARMACIST (PHARM.D)

  • Pharmacist
  • Portland, OR
National Provider Identifier
1982096012
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0015779 Issued in OR
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

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH-0015779ORMDPharmacist

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.

Verify at the official NPI Registry.