Shinta Imansjah
Pharmacist
12360 E Burnside St, Portland
Oregon, 97233-1042
971-279-4800 971-279-2763
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: | 09 Apr, 2025 |
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 | PH61290107 | Washington | Secondary | |
| 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 | |
| 2306886 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 211 Se Caruthers St,
Portland, Oregon |
| Zip: | 97214-4502 |
| Phone Number: | 503-224-1044 |
| Fax Number: | 971-260-0355 |
Patients can reach Shinta Imansjah at
12360 E Burnside St, Portland, Oregon or can
call on phone at 971-279-4800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.