MR. DEREK ANDRUS


Address: 5717 Nw 138th, Portland, OR 97230
Phone: 8005489809

MR. DEREK ANDRUS (NPI# 1104378199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104378199
Entity Type Individual
Full Name MR. DEREK ANDRUS
Credential RPH
Practice Address 5717 Nw 138th
Portland
OR 97230
Mailing Address 2351 Nw Byrne Ter
Portland
OR 97229-4477
Practice Telephone 8005489809
Mailing Telephone 5036216429
Enumeration Date 2016-10-26
Last Update Date 2016-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
7623 OR Pharmacy Service Providers

Office Location

Street Address 5717 NW 138TH
City PORTLAND
State OR
Zip Code 97230

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687233 Timisha K Wilson Social Worker 12505 Ne Halsey St, Portland, OR 97230 2018-07-30
1356828768 Sally Gail Logan Pharmacist 5725 Ne 138th Avenue, Portland, OR 97230 2018-07-27
1063937951 Marley Elizabeth Small Counselor 1507 Ne 122nd Ave., Portland, OR 97230 2017-08-11
1447771316 Shadab Nasreen Aijazi Pathology 5220 Ne 122nd Avenue, Portland, OR 97230 2017-06-30
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1750837597 Providence Elderplace Assisted Living Facility 16430 Ne Hoyt St, Portland, OR 97230 2016-08-31
1649622473 Sara Mcgroarty Counselor 17710 Ne Halsey Street, Portland, OR 97230 2016-07-05
1346699949 Steven D Stanton Counselor 1022 Ne 181st Ave, C1, Portland, OR 97230 2016-06-06
1215390091 The Wallace Medical Concern Clinic/Center 18139 Ne Couch Street, Portland, OR 97230 2016-03-30
1386026011 Melissa Sy Nursing Care 15915 Ne Glisan St, Portland, OR 97230 2015-06-18
Find all providers in zip 97230

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588178701 Daniel Hendrickson Pharmacist 503 Sw 5th Avenue, Portland, OR 97204 2017-11-27
1336662204 Jenny French Pharmacist 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 2017-07-21
1245695956 M. Katherine Welch Pharmacist 3228 Sw Water Ave, Portland, OR 97239-4632 2015-12-22
1790176006 Jacob Tang Pharmacist 1940 Se 12th Ave Apt 9, Portland, OR 97214-4779 2015-02-09
1902211196 Danit Chetron Pharmacist 2323 Sw Caldew St, Portland, OR 97219-2618 2014-06-25
1023350881 Joey Goren Degrood Pharmacist 9044 Sw Rystadt Ln, Portland, OR 97225-2851 2013-03-20
1831435213 James L Huang Pharmacist 300 N Graham St Ste 200, Portland, OR 97227 2012-12-12
1972853331 Sharon Leigh Pharmacist 4531 Se Belmont St. Suite 100, Portland, OR 97215-1675 2012-09-13
1649544107 Ryan Bradley Pharmacist 6348 Ne Halsey St Ste A, Portland, OR 97213-4720 2012-03-01
1285907915 Michele Karen Koder Pharmacist 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 2012-02-10
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97230

Improve Information

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Dataset Information

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.

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