ANNETTE SANTOS VIFQUAIN (NPI# 1508172024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508172024 |
| Entity Type | Individual |
| Full Name | ANNETTE SANTOS VIFQUAIN |
| Credential | PHARMD |
| Practice Address |
4760 Liberty Rd S Salem OR 97302-5037 |
| Mailing Address |
19550 Sw Bernhardt Dr Beaverton OR 97007-5788 |
| Practice Telephone | 5034285098 |
| Mailing Telephone | 7138594644 |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2010-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PI-0010028 | OR | Pharmacy Service Providers |
| Street Address |
4760 LIBERTY RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467630780 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4760 Liberty Rd S, Salem, OR 97302-5037 | 2008-02-08 |
| 1710311758 | Thanh Toan Tran Thai | Pharmacist | 4760 Liberty Rd S, Salem, OR 97302-5037 | 2013-08-27 |
| 1568719029 | Tiina Lee Andrews | Pharmacist | 4760 Liberty Rd S, Salem, OR 97302-5037 | 2012-08-14 |
| 1124397625 | Minh Pham | Pharmacist | 4760 Liberty Rd S, Salem, OR 97302-5037 | 2011-12-29 |
| 1275816126 | Carrie Brandon | Pharmacist | 4760 Liberty Rd S, Salem, OR 97302-5037 | 2011-09-27 |
| 1649504473 | Rain Hudson | Pharmacist | 4760 Liberty Rd S, Salem, OR 97302-5037 | 2009-09-26 |
| 1831322205 | Elizabeth Maree Tabor | Pharmacist | 4760 Liberty Rd S, Salem, OR 97302-5037 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013138338 | Joni Renee Killgore | Pharmacy Technician | 500 Summer St Ne, Salem, OR 97301-1063 | 2007-05-02 |
| 1851937155 | Barbara Anne Perham | Pharmacy Technician | 15740 N Highway 11 Ste 2b, Salem, SC 29676-3262 | 2019-11-21 |
| 1902296684 | Karen Jones | Pharmacy Technician | 203 S Broadway, Salem, NH 03079-3377 | 2015-02-02 |
| 1669450201 | Rebecca Phoebe Wippert | Pharmacy Technician | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1111 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223356 | Sarah Miller | Pharmacy Technician | 8300 Sw Creekside Pl, Beaverton, OR 97008-8178 | 2020-10-20 |
| 1659991586 | Billy Dakota Medlin | Pharmacy Technician | 53 N 2nd St, Ashland, OR 97520-1889 | 2020-04-21 |
| 1881047553 | Kelli Tompkins | Pharmacy Technician | 2909 Daggett Ave Ste 225, Klamath Falls, OR 97601-7200 | 2016-07-19 |
| 1538550058 | Jinalyn Germond | Pharmacy Technician | 1813 W Harvard Ave Ste 210, Roseburg, OR 97471-2709 | 2015-02-06 |
| 1639443476 | Angela Lynn Mcginley | Pharmacy Technician | 20000 Se Highway 212, Damascus, OR 97089-8717 | 2012-02-24 |
| 1568750990 | Patricia Posteuca | Pharmacy Technician | 2602 Arbor Dr, West Linn, OR 97068-1104 | 2011-07-19 |
| 1487961272 | Peter James | Pharmacy Technician | 1215 Nw 23rd Ave, Portland, OR 97210-2905 | 2010-09-01 |
| 1356514145 | Kirk Thomas Gates | Pharmacy Technician | 12065 Sw Walnut St, Tigard, OR 97223-3033 | 2008-04-11 |
| 1780707547 | Ronald Johnson I | Pharmacy Technician | 3710 Southwest Us Veterans Hospital Road, Portland, OR 97239 | 2007-04-09 |
| 1144313644 | Nancy Jane Dooley | Pharmacy Technician | 2310 Connecticut, North Bend, OR 97459 | 2006-10-02 |
| 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.