Active NPI
Xiao Tian Yaw, PHARMD
- Pharmacotherapy Pharmacist
- Portland, OR
National Provider Identifier
1992089387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RPH-0013764
- Practice address
- 1904 SW Vermont St
Portland, OR 97219-9400 - Phone
- (515) 441-9005
- NPI assigned
- Oct 4, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051293700 | IL | |
| Pharmacist | 183500000X | 1-14904 | KS | |
| Pharmacotherapy Pharmacist | 1835P1200X | RPH-0013764 | OR | Primary |
Addresses
Primary practice location
1904 SW Vermont St
Portland, OR 97219-9400
Mailing address
1904 SW Vermont St
Portland, OR 97219-9400
Phone (515) 441-9005
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 |
|---|---|---|---|
| 051293700 | IL | MD | Pharmacist |
| 1-14904 | KS | MD | Pharmacist |
| RPH-0013764 | OR | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1992089387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 SW VERMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972199400",
"telephone_number": "515-441-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 SW VERMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972199400",
"telephone_number": "515-441-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAW",
"first_name": "XIAO TIAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051293700",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14904",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OR",
"license": "RPH-0013764",
"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 Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.