MR. OLUSEGUN ADESESAN BAMGBELU (NPI# 1255976056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255976056 |
| Entity Type | Individual |
| Full Name | MR. OLUSEGUN ADESESAN BAMGBELU |
| Credential | PHARM D |
| Practice Address |
Memorial Cornerstone Pharmacy 4003 Creekside Loop Yakima WA 98908 |
| Mailing Address |
2811 Tieton Drive Pharmacy Department Yakima WA 98902-8036 |
| Practice Telephone | 5092483263 |
| Practice Fax Number | 5095758700 |
| Mailing Telephone | 5095758036 |
| Mailing Fax Number | 5095758700 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH60776370 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PHARMACIST LICENCE | PH60776370 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2811 Tieton Drive, Pharmacy Department, Yakima, WA 98902 | 5095758036 | 5095758700 |
| Street Address |
MEMORIAL CORNERSTONE PHARMACY 4003 CREEKSIDE LOOP |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| 1366704611 | Jenessa Leigh Hartman | Optometrist | 303 S 72nd Ave, Yakima, WA 98908 | 2012-06-12 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1073031266 | James Stewart | Pharmacist | 2811 Tieton Drive, Yakima, WA 98902 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839935 | Zackary Beard | Pharmacist | 17700 Se 272nd St # 100, Covington, WA 98042-4951 | 2020-10-22 |
| 1073110581 | Vince Pinaroc | Pharmacist | 4545 Pt Fosdick Dr Nw Ste 250, Gig Harbor, WA 98335-1700 | 2020-10-07 |
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1922586023 | Kimberly Jane Comito | Pharmacist | 1002 15th St Sw Ste 101, Auburn, WA 98001-6502 | 2018-07-31 |
| 1760974315 | Rachna Burman I | Pharmacist | 1708 Yakima Ave Ste 20, Tacoma, WA 98405-5307 | 2018-05-30 |
| 1942792676 | John K Guffey | Pharmacist | 12607 Se Mill Pain Blvd, Vancouver, WA 98684-4098 | 2018-05-30 |
| 1790297232 | Racha Aldughli | Pharmacist | 1901 S Union Ave Ste 7009, Tacoma, WA 98405-1702 | 2017-10-24 |
| 1881104297 | Beverly Moua | Pharmacist | 207 E Stanley St, Granite Falls, WA 98252-8480 | 2017-10-11 |
| 1992220214 | Rachel Ann Alm | Pharmacist | 525 Lilly Rd Ne Ste 204, Olympia, WA 98506-5101 | 2017-08-08 |
| 1023565371 | Lloyd Stever | Pharmacist | 532 S Battery Rd, Moses Lake, WA 98837-2997 | 2016-09-03 |
| 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.