Provider Type Icon

PHILLIP KOTLYAREVSKIY PHARM D NPI 1346830643


NPI Information

NPI: 1346830643
Provider Name: PHILLIP KOTLYAREVSKIY, PHARM D
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
7320 SW HUNZIKER RD STE 300
TIGARD, OR
ZIP 97223
Phone: (503) 941-3033
Get Directions

Phillip Kotlyarevskiy, PHARM D is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Tigard, OR. The provider is 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. Phillip Kotlyarevskiy, PHARM D NPI is 1346830643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7320 SW HUNZIKER RD STE 300
TIGARD, OR
ZIP 97223-302
Phone: (503) 941-3033

The enumeration date for this NPI number is 1/20/2021 and was last updated on 1/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist0018247OREGONNo
21835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0018247OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.