Healthcare Provider Details

I. General information

NPI: 1548573546
Provider Name (Legal Business Name): JACKI L SCHRADER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 SANTIAM HWY SE
ALBANY OR
97322-5265
US

IV. Provider business mailing address

2500 SANTIAM HWY SE
ALBANY OR
97322-5265
US

V. Phone/Fax

Practice location:
  • Phone: 541-967-6730
  • Fax: 541-967-6741
Mailing address:
  • Phone: 541-967-6730
  • Fax: 541-967-6741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number10083
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10083
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: