PHILLIP C LACY CPHT
NPI 1215429394
Pharmacy Technician in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Pharmacy Technician with taxonomy code 183700000X.

Active since June 04, 2018

12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Phillip C Lacy Cpht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP C LACY CPHT (NPI 1215429394) is an individual pharmacy technician in Portland, Oregon, licensed in Oregon (CPT-0011115) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1215429394

Entity TypeIndividualMale

Primary Taxonomy183700000X

Provider Legal NamePHILLIP C LACYCredential: CPHT

Location Address12360 E BURNSIDE STPortland, OR 97233-1042

Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235

Phone(971) 279-4800

Fax(971) 279-2051

Sole ProprietorNo

Enumeration DateJune 4, 2018

✔ NPI 1215429394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers

Taxonomy Code183700000X

License✔ Licensed in OR · CPT-0011115

Definition

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

12360 E BURNSIDE ST, Portland, OR 97233

Open in Google Maps ↗