DR. JOVIN V PANTHAPATTU (NPI# 1073903563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073903563 |
| Entity Type | Individual |
| Full Name | DR. JOVIN V PANTHAPATTU |
| Credential | PHARM.D. BCACP |
| Practice Address |
178 Sw 2nd Ave Canby OR 97013-4152 |
| Mailing Address |
7320 Sw Hunziker Rd Ste 300 Portland OR 97223-2302 |
| Practice Telephone | 5034164547 |
| Practice Fax Number | 5034164553 |
| Mailing Telephone | 0359413033 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0016544-P | OR | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RPH-0016544 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500758246 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2925 River Rd S Ste 110, Salem, OR 97302 | 5038144400 | 5038148149 |
| 728 Molalla Ave, Oregon City, OR 970452799 | 5036569030 | 5036569026 |
| Street Address |
178 SW 2ND AVE |
| City | CANBY |
| State | OR |
| Zip Code | 97013-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124094099 | Elisabeth Scott | Family Medicine | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2006-02-28 |
| 1588212906 | Nathan Denson Savage-lee | Family Medicine | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2019-08-28 |
| 1659802049 | Judith Michelle Schmidt | Registered Nurse | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2017-03-27 |
| 1104292242 | Ucheoma Nwizu | Pharmacist | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2015-08-12 |
| 1033489224 | Neighborhood Health Center | Clinic/Center | 178 Sw 2nd Ave, Canby, OR 97013 | 2012-01-05 |
| 1205114295 | Meghan E. Brennan | Nurse Practitioner | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2011-07-26 |
| 1245482314 | Jooae Park | Chiropractor | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2008-10-21 |
| 1700033925 | Douglas Raymond Lyon | Family Medicine | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2008-08-19 |
| 1265567770 | Hartwell Chiropractic and Wellness Center P.C. | Chiropractor | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2007-02-23 |
| 1750305876 | Daniel Chong | Naturopath | 178 Sw 2nd Ave, Canby, OR 97013-4152 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639634314 | Clackamas County School District 86 | Local Education Agency (LEA) | 1130 S Ivy Street, Canby, OR 97013 | 2019-02-06 |
| 1669924502 | Brigid Marie-crotty Piccolotti | Speech-Language Pathologist | 344 N Holly St, Canby, OR 97013 | 2016-10-26 |
| 1497150247 | Speech With Sarah - LLC | Speech-Language Pathologist | 366 N. Holly St., Canby, OR 97013 | 2014-10-22 |
| 1164838116 | Annaliese Dianna Ellsworth | Social Worker | 550 Nw 3rd Ave Ste Bandc, Canby, OR 97013 | 2014-07-09 |
| 1639500804 | Alison Johnson | Social Worker | 11303 S Mulino Rd, Canby, OR 97013 | 2013-12-12 |
| 1184975260 | Tara Marie Mcgarry | Psychologist | 1433 Se 1st Ave, Canby, OR 97013 | 2012-09-28 |
| 1235488842 | Natalie Jackson Ballas | Dentist | 300 N Holly Street, Canby, OR 97013 | 2012-08-29 |
| 1699021667 | Canby Clinic | Naturopath | 452 Nw 1st Avenue, Canby, OR 97013 | 2012-07-27 |
| 1518231950 | Kyle Greer | Pharmacist | 1401 Se First, Canby, OR 97013 | 2012-03-02 |
| 1912284027 | Julie Michelle Francis | Counselor | 1655 S. Elm St #508, Canby, OR 97013 | 2011-11-03 |
| Find all providers in zip 97013 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039321 | Anthony Mckenzie | Pharmacist | 665 Winter St Se Bldg B, Salem, OR 97301-3934 | 2018-07-02 |
| 1457881468 | Coleman Gayheart Jr. | Pharmacist | 12981 Sw Upper Ridge Rd, Terrebonne, OR 97760-9212 | 2017-06-13 |
| 1265977086 | Robert Martini | Pharmacist | 18815 Ne Clackamas St, Portland, OR 97230-7138 | 2017-01-03 |
| 1477901643 | Shellie Weatherspoon | Pharmacist | 1040 Nw 22nd Ave Ste 100, Portland, OR 97210-3036 | 2016-05-29 |
| 1164887402 | Good Samaritan Hospital Corvallis | Pharmacist | 3517 Nw Samaritan Dr # 202, Corvallis, OR 97330-3767 | 2015-12-30 |
| 1871106914 | Viet Quoc Nguyen | Pharmacist | 2280 Marcola Rd, Springfield, OR 97477-2594 | 2020-08-28 |
| 1235757915 | Dustin J Clark | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2020-07-09 |
| 1841818523 | Erica Dominguez | Pharmacist | 870 S Front St Ste 200, Central Point, OR 97502-2779 | 2020-07-09 |
| 1518585199 | Kasey Rubin | Pharmacist | 4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545 | 2020-07-09 |
| 1699306464 | Frederique Josee Blouin | Pharmacist | 335 Se 8th Ave, Hillsboro, OR 97123-4246 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.