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: July 19, 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 11

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

Psychiatry & Neurology (Neurology)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Social Worker (Clinical)
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
Dental Hygienist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Psychologist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Physician Assistant (Medical)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Registered Nurse
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Pharmacist (Ambulatory Care)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306994553, enumerated as an "individual" on January 06, 2007.

The provider is located at 5329 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97211 and the phone number is (503) 988-8264.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.