Active NPI
Nancy Luann Yancey, R.PH.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dallas, OR
National Provider Identifier
1982977419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0007652
- Practice address
- 625 SE Miller Ave
Dallas, OR 97338-2634 - Phone
- (503) 623-2400
- Fax
- (503) 623-5799
- NPI assigned
- Feb 14, 2012
- Last updated
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-00007652 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0007652 | OR | Primary |
Addresses
Primary practice location
625 SE Miller Ave
Dallas, OR 97338-2634
Mailing address
625 SE Miller Ave
Dallas, OR 97338-2634
Phone (503) 623-2400
Other names 1
- Nancy Luann Gray
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-00007652 | OR | MD | Pharmacist |
| RPH-0007652 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pill Box Drugs Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1982977419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 SE MILLER AVE",
"city": "DALLAS",
"state": "OR",
"postal_code": "973382634",
"telephone_number": "503-623-2400",
"fax_number": "503-623-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 SE MILLER AVE",
"city": "DALLAS",
"state": "OR",
"postal_code": "973382634",
"telephone_number": "503-623-2400",
"fax_number": "503-623-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANCEY",
"first_name": "NANCY",
"middle_name": "LUANN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-00007652",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0007652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "GRAY",
"middle_name": "LUANN",
"credential": "R.PH.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.