DR. ERIC W WHITE (NPI# 1063750487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063750487 |
| Entity Type | Individual |
| Full Name | DR. ERIC W WHITE |
| Credential | PHARMD |
| Practice Address |
7404 N Interstate Ave Portland OR 97217-5528 |
| Mailing Address |
4848 Se 36th Ave Portland OR 97202-4125 |
| Practice Telephone | 5032866784 |
| Mailing Telephone | 5037028540 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0012394 | OR | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0012394 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821450701 | Eric White | Student in an Organized Health Care Education/Training Program | 327 18th St, New Orleans, LA 70124-1229 | 2016-03-22 |
| 1972540185 | Eric S White | Orthopaedic Surgery | 77 Hospital Ave., #107, Orthopedic Associates, North Adams, MA 01247 | 2006-05-31 |
| 1205808045 | Eric M White | Optometrist | 5075 Ruffin Rd, # B, San Diego, CA 92123 | 2006-02-06 |
| 1699934083 | Eric Paul White | Pharmacist | 5999 Burke Commons Rd, Burke, VA 22015-2880 | 2008-06-02 |
| 1912176819 | Eric Sean White | Nurse Anesthetist, Certified Registered | 4231 W 16th Ave, Denver, CO 80204-1335 | 2008-02-25 |
| 1003954421 | Eric Allan White | Radiology | 1500 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2007-02-01 |
| 1093897522 | Eric Stephen White | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-20 |
| 1386698033 | Eric White | Nurse Practitioner | 1150 N Bishop Ave, Dallas, TX 75208-4168 | 2006-05-19 |
| 1649233735 | Eric Todd White | Nurse Anesthetist, Certified Registered | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2006-04-10 |
| 1043294408 | Eric A White | Radiology | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2005-11-30 |
| Street Address |
7404 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97217-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194761007 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2006-06-20 |
| 1043826530 | Chau Minh Vo | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2020-09-20 |
| 1801363874 | Lisa Tran | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2018-10-29 |
| 1942741095 | Hieu Minh Nguyen | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2017-03-08 |
| 1225572639 | Kroger | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2016-12-05 |
| 1063897239 | Fred Meyer | Pharmacy | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2015-07-29 |
| 1144608183 | Sophia Trieu | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2015-05-11 |
| 1154667806 | Maria Jose Gonzalez-rivas | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-12-28 |
| 1235402199 | Shilpa Nadgouda | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-02-22 |
| 1073886032 | Seyedeh Faye Iliaifar | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
| 1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
| 1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
| Find all providers in zip 97217 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1053923920 | Hoang Lan Ngoc Doan | Pharmacist | 4201 Ne 129th Pl, Portland, OR 97230-1405 | 2020-08-20 |
| 1528677531 | Mi Pham | Pharmacist | 5824 Se 134th Pl, Portland, OR 97236-2987 | 2020-07-26 |
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1255951471 | Nam Lai | Pharmacist | 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 | 2020-04-17 |
| 1275167439 | Mayasah Anas Sedeeq Al Bazzaz | Pharmacist | 15122 Nw Fig Ln, Portland, OR 97229-6986 | 2020-02-26 |
| 1427696632 | Thai Tran | Pharmacist | 7901 Se Powell Blvd, Portland, OR 97206-2314 | 2019-12-18 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1952966970 | Linda P. Pham | Pharmacist | 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 | 2019-05-06 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.