KENDAL D CUSACK RPH
NPI 1578180212
Pharmacist in Portland, OR

Active since June 29, 2020
3653 SE 34TH AVE, PORTLAND, OR 97202(503) 988-5423(503) 988-5750 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kendal D Cusack Rph NPPES

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

KENDAL D CUSACK RPH (NPI 1578180212) is an individual pharmacist in Portland, Oregon, licensed in Oregon (7534) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1578180212
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKENDAL D CUSACKCredential: RPH
Location Address3653 SE 34TH AVEPortland, OR 97202-3034
Mailing Address619 Nw 6th AvePortland, OR 97209-3964 · (503) 988-5423 · Fax (503) 988-5750
Fax(503) 988-5750
Sole ProprietorYes
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
NPI 1578180212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OR · 7534
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.
3653 SE 34TH AVE, Portland, OR 97202

Other Providers at the Same Location NPPES 20

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

Dentist (Dental Public Health)
3653 SE 34TH AVE
PORTLAND, OR 97202
Dental Hygienist
3653 SE 34TH AVE
PORTLAND, OR 97202
Dentist (General Practice)
3653 SE 34TH AVE
PORTLAND, OR 97202
Clinic/Center (Public Health, State or Local)
3653 SE 34TH AVE
PORTLAND, OR 97202
Community Health Worker
3653 SE 34TH AVE
PORTLAND, OR 97202
Clinic/Center (Federally Qualified Health Center (FQHC))
3653 SE 34TH AVE
PORTLAND, OR 97202
Internal Medicine
3653 SE 34TH AVE
PORTLAND, OR 97202
Pharmacy (Clinic Pharmacy)
3653 SE 34TH AVE
PORTLAND, OR 97202

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 Kendal Cusack's NPI number?

The NPI number for Kendal Cusack is 1578180212. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Kendal Cusack located?

Kendal Cusack practices at 3653 SE 34th Ave, Portland, OR 97202. The listed phone number is (503) 988-5423.

What is Kendal Cusack'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 Kendal Cusack was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.