JAKE KYLLO R.PH
NPI 1750697082
Pharmacist in Salem, OR

Active since August 24, 2010
1992 LANCASTER DR NE, SALEM, OR 97305(503) 362-4845 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Kyllo R.ph NPPES

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

JAKE KYLLO R.PH (NPI 1750697082) is an individual pharmacist in Salem, Oregon, licensed in Oregon (0008411) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1750697082
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJAKE KYLLOCredential: R.PH
Location Address1992 LANCASTER DR NESalem, OR 97305-1021
Mailing Address1992 Lancaster Dr NeSalem, OR 97305-1021
Sole ProprietorNo
Enumeration DateAugust 24, 2010
NPI 1750697082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OR · 0008411
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.
1992 LANCASTER DR NE, Salem, OR 97305

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.

Pharmacist
1992 LANCASTER DR NE
SALEM, OR 97305
Pharmacist
1992 LANCASTER DR NE
SALEM, OR 97305
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1992 LANCASTER DR NE
SALEM, OR 97305
Pharmacy
1992 LANCASTER DR NE
SALEM, OR 97305
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1992 LANCASTER DR NE
SALEM, OR 97305

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 Jake Kyllo's NPI number?

The NPI number for Jake Kyllo is 1750697082. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Jake Kyllo located?

Jake Kyllo practices at 1992 Lancaster Dr NE, Salem, OR 97305. The listed phone number is (503) 362-4845.

What is Jake Kyllo'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 Jake Kyllo was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.