IndividualActive
Ky San, PHARM.D.
NPI 1306994553 · Pharmacist · Portland, OR
Ky San, PHARM.D. is a Pharmacist provider in Portland, OR (NPI 1306994553).
Provider details
- NPI number
- 1306994553
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 53066 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5329 Ne Martin Luther King Jr Blvd
Portland, OR 97211-3237
Phone: (503) 988-8264
Street-level locationGet directions
Mailing address
2700 Dolbeer St
Eureka, CA 95501-4736
Registry dates
- Enumerated
- 2007-01-06
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Frequently asked questions
- What is Ky San's NPI number?
- Ky San's National Provider Identifier (NPI) is 1306994553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ky San's specialty?
- Ky San is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Ky San located?
- Ky San's practice location on file with NPPES is 5329 Ne Martin Luther King Jr Blvd, Portland, OR 97211-3237.
- What is Ky San's phone number?
- The practice phone number listed in the NPPES registry for Ky San is (503) 988-8264.
- Is Ky San's NPI active?
- Yes — Ky San's NPI (1306994553) is active in the NPPES registry as of the last update on 2023-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.