Unknown Individual – Pharmacist, NPI 1154454965

Unknown Individual is a healthcare provider. based in Lake oswego, Oregon. specializing in Pharmacist. They hold a License No. 5091 (OR). The NPI Number for Unknown Individual is 1154454965

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154454965
Phone
(503) 635-5211
Address
1399 MCVEY AVE
Deactivation Date
11 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1399 MCVEY AVE

    LAKE OSWEGO, OR 970346070

    Phone: (503) 635-5211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97034)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1154454965.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pharmacist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Lake Oswego, Oregon. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

Portland VA Medical Center, 3710, Southwest United States Veterans Hospital Road, Marquam Hill, Homestead, Portland, Multnomah County, Oregon, 97239, United States
NPI: 1992711089

YONG M CHUNG

Pharmacist
Portland VA Medical Center, 3710, Southwest United States Veterans Hospital Road, Marquam Hill, Homestead, Portland, Multnomah County, Oregon, 97239, United States
NPI: 1376657064
1399 MCVEY AVE
NPI: 1922131739
5285 MEADOWS ROAD
NPI: 1740304351
2762 VALE CT
NPI: 1093830879
90 B AVE
NPI: 1285750281
17020 CHAPIN WAY
NPI: 1245358720
2342, Promontory Court, Grand Junction, Mesa County, Colorado, 81507, United States
NPI: 1316129414
518 S FLORIDA ST
NPI: 1831371731