Active NPI
Jesse Caldwell, PHARMD
- Pharmacist
- Portland, OR
National Provider Identifier
1982917738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.294357
- Practice address
- 100 SW Market St
Ms WW3-33
Portland, OR 97201-5723 - Phone
- (503) 225-4993
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- 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 | 051.294357 | IL | Primary |
Addresses
Primary practice location
100 SW Market St
Ms WW3-33
Portland, OR 97201-5723
Mailing address
7931 SW 40TH Ave
Unit I
Portland, OR 97219-3598
Phone (415) 235-7101
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.294357 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1982917738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7931 SW 40TH AVE",
"address_2": "UNIT I",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193598",
"telephone_number": "415-235-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SW MARKET ST",
"address_2": "MS WW3-33",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015723",
"telephone_number": "503-225-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "JESSE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.294357",
"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 Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.