Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Kyllo, RPH

Individual provider Pharmacist · NPI 1750697082

Jake Kyllo, RPH is a Pharmacist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1992 Lancaster Dr NE
Salem, OR 97305-1021
Phone: (503) 362-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0008411 (OR)

Record details

NPI number1750697082
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedAugust 24, 2010
Last updated in NPPESAugust 24, 2010
Mailing address1992 Lancaster Dr Ne, Salem, OR 97305-1021

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