IndividualActive
Michael Grossnickle, RPH
NPI 1861940769 · Pharmacist · Portland, OR
Michael Grossnickle, RPH is a Pharmacist provider in Portland, OR (NPI 1861940769).
Provider details
- NPI number
- 1861940769
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- RPH-0015591 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
5420 Ne 33rd Ave
Portland, OR 97211-7404
Phone: (971) 230-0153
Street-level locationGet directions
Mailing address
1776 Sw Madison St
Portland, OR 97205-1715
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Michael Grossnickle's NPI number?
- Michael Grossnickle's National Provider Identifier (NPI) is 1861940769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Grossnickle's specialty?
- Michael Grossnickle is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Michael Grossnickle located?
- Michael Grossnickle's practice location on file with NPPES is 5420 Ne 33rd Ave, Portland, OR 97211-7404.
- What is Michael Grossnickle's phone number?
- The practice phone number listed in the NPPES registry for Michael Grossnickle is (971) 230-0153.
- Is Michael Grossnickle's NPI active?
- Yes — Michael Grossnickle's NPI (1861940769) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.