Shinta Imansjah is a pharmacist in Portland, Oregon. Patients can reach her at 12360 E Burnside St, Portland or contact her on 971-279-4800. Active license number of Shinta Imansjah is RPH-0015242 for Pharmacist in Oregon. Shinta Imansjah is 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.
Complete Profile:
Shinta Imansjah speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Shinta Imansjah
Specialization:
Pharmacist
Credentials:
PHARM D/RPH
Gender:
Female
Location:
12360 E Burnside St, Portland, Oregon, 97233-1042
Phone:
971-279-4800
Fax:
971-279-2763
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of Shinta Imansjah are as mentioned below.
NPI Number:
1457314353
NPI Enumeration Date:
11 Apr, 2006
NPI Last Update On:
02 Jun, 2023
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shinta Imansjah are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
RPH-0015242
Oregon
Primary
Pharmacist
PS 40904
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Shinta Imansjah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500722920
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1776 Sw Madison St, Portland, Oregon
Zip:
97205-1715
Phone Number:
971-386-2278
Fax Number:
503-224-4494
Patients can reach Shinta Imansjah at 12360 E Burnside St, Portland, Oregon or can call on phone at 971-279-4800.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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