DR. KY SAN PHARM.D.
NPI 1306994553
Pharmacist in Portland, OR

Active since January 06, 2007
5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211(503) 988-8264 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ky San Pharm.d. NPPES

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

DR. KY SAN PHARM.D. (NPI 1306994553) is an individual pharmacist in Portland, Oregon, licensed in California (53066) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1306994553
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KY SANCredential: PHARM.D.
Location Address5329 NE MARTIN LUTHER KING JR BLVDPortland, OR 97211-3237
Mailing Address2700 Dolbeer St, PharmacyEureka, CA 95501-4736 · (707) 445-8121
Sole ProprietorYes
Enumeration DateJanuary 6, 2007
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
NPI 1306994553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 53066
Definition
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.
5329 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97211

Other Identifiers 1

OtherW598753CA · Pharmacist

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Nurse Practitioner (Primary Care)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Peer Specialist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Clinic/Center (Primary Care)
5329 NE MARTIN LUTHER KING JR BLVD, 2ND FLOOR
PORTLAND, OR 97211
Pharmacist (Ambulatory Care)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Psychiatry & Neurology (Neurology)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Physician Assistant (Medical)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Dental Hygienist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ky San's NPI number?

The NPI number for Ky San is 1306994553. It was assigned to this individual provider in the NPPES registry on January 6, 2007.

Where is Ky San located?

Ky San practices at 5329 NE Martin Luther King Jr Blvd, Portland, OR 97211. The listed phone number is (503) 988-8264.

What is Ky San's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ky San was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.