Brian Destine, PHARMD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, Oregon
1558986018- Practice location
- 13485 NW Cornell RD, Portland, OR 97229-5819
- Phone
- 503-350-2080
- Fax
- —
- Last updated
- October 19, 2020
Brian Destine, PHARMD is a Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Portland, OR. Brian Destine, PHARMD holds the professional credentials of PHARMD. The NPI number for Brian Destine, PHARMD is 1558986018 and holds license No. PI-0012668 (OR). The current practice location address is 13485 NW Cornell RD, Portland, OR 97229-5819 and the office can be reached by phone at 503-350-2080. The NPI was assigned on June 10, 2020 and the record was last updated in NPPES on October 19, 2020.
●Provider Profile Details
- NPI Number
- 1558986018
- Provider Name
- Brian Destine
- Credential
- PHARMD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · 1835P0018X
- Sole Proprietor
- No
- Enumeration Date
- June 10, 2020
- Last Update Date
- October 19, 2020
- Certification Date
- October 19, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 13485 NW Cornell RD
Portland, OR 97229-5819 - City
- Portland
- State
- Oregon
- ZIP
- 97229-5819
- Country
- US
- Phone Number
- 503-350-2080
✉Business Mailing Address
- Address
- 9580 SW Greenburg RD Apt 44
Tigard, OR 97223-5565 - City
- Tigard
- State
- OR
- ZIP
- 97223-5565
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | No | PI-0012668 | OR |
| Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | Yes | RPH-0018141 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Brian Destine, PHARMD?
The NPI number of Brian Destine, PHARMD is 1558986018. It was assigned on June 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Brian Destine, PHARMD?
Brian Destine, PHARMD is registered under the primary taxonomy Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (code 1835P0018X) and holds license No. PI-0012668 (OR).
Where does Brian Destine, PHARMD practice?
The practice location is 13485 NW Cornell RD, Portland, OR 97229-5819. The office can be reached at 503-350-2080 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558986018 directly on the NPPES registry website at npiregistry.cms.hhs.gov.