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DR. CAMILLE TACKETT PHARMD.
NPI 1568797868
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since October 05, 2009
3500 SE 26TH AVE, PORTLAND, OR 97202(503) 797-2156 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Camille Tackett Pharmd. NPPES

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

DR. CAMILLE TACKETT PHARMD. (NPI 1568797868) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (RPH-0013489) and active in the NPI registry since October 2009. She maintains a secondary practice location in Casa Grande.

NPPES Registry Identity

NPI1568797868
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. CAMILLE TACKETTCredential: PHARMD.
Location Address3500 SE 26TH AVEPortland, OR 97202-2901
Mailing AddressPo Box 2718Portland, OR 97208-2718 · (503) 797-2156
Phone(503) 797-2156
Sole ProprietorNo
Enumeration DateOctober 5, 2009
Last NPPES UpdateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
✔ NPI 1568797868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OR · RPH-0013489
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License S013265 (AZ)
3500 SE 26TH AVE, Portland, OR 97202
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Secondary Practice Location 1

Location 12858 N Pinal AveCasa Grande, AZ 85122-7917 · Phone (520) 426-4701 · Fax (520) 426-4704

Other Providers at the Same Location NPPES 5

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

MELISSA ANN CICELSKE RPH
Pharmacist
3500 SE 26TH AVE
PORTLAND, OR 97202
Multnomah County (800) 552-1827
HEALTHY OPTIONS INC.
Pharmacy (Mail Order Pharmacy)
3500 SE 26TH AVE
PORTLAND, OR 97202
Multnomah County (503) 797-2110
ANDREA MARIE BERTONI PHARMD
Pharmacist
3500 SE 26TH AVE
PORTLAND, OR 97202
Multnomah County (503) 797-2100
HEALTHY OPTIONS INC
Pharmacy (Mail Order Pharmacy)
3500 SE 26TH AVE
PORTLAND, OR 97202
Multnomah County (503) 797-2100
MR. FORREST ROGER FARRINGTON RPH
Pharmacist
3500 SE 26TH AVE
PORTLAND, OR 97202
Multnomah County (503) 797-2100

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 Camille Tackett's NPI number?

The NPI number for Camille Tackett is 1568797868. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Camille Tackett located?

Camille Tackett practices at 3500 SE 26th Ave, Portland, OR 97202. The listed phone number is (503) 797-2156.

What is Camille Tackett's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Camille Tackett was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.