DR. OLIVIA SANTOSO BENTLEY (NPI# 1558772434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558772434 |
| Entity Type | Individual |
| Full Name | DR. OLIVIA SANTOSO BENTLEY |
| Other Name | DR. OLIVIA REGINA SANTOSO |
| Credential | PHARM.D. |
| Practice Address |
7308 E Independence Blvd Ste I Charlotte NC 28227-9440 |
| Practice Telephone | 7045370909 |
| Practice Fax Number | 7045370947 |
| Mailing Telephone | 7045370909 |
| Mailing Fax Number | 7045370947 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2015-12-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 026916 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 22881 | NC | Pharmacy Service Providers |
| N | 225000000X | Orthotic Fitter | 1722 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871068809 | Olivia Lauren Bentley | Occupational Therapist | 716 E Cedar Rock St, Pickens, SC 29671-2324 | 2018-10-05 |
| 1326578055 | Olivia Bentley | Student in an Organized Health Care Education/Training Program | 200 University Pkwy, Yakima, WA 98901-9539 | 2017-06-14 |
| 1447672662 | Olivia Bentley | Counselor | 1589 Hill Rise Dr, Lexington, KY 40504-2588 | 2014-01-07 |
| Street Address |
7308 E INDEPENDENCE BLVD STE I |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28227-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295220523 | Keith Yon | Pharmacist | 7308 E Independence Blvd Ste I, Charlotte, NC 28227-9440 | 2018-06-28 |
| 1205355138 | Jessica Mari Sinclair | Pharmacist | 7308 E Independence Blvd Ste I, Charlotte, NC 28227-9440 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1134611239 | Alyssa Latonia Rodgers | Counselor | 7512 Spring Spruce Ln, Charlotte, NC 28227 | 2018-06-04 |
| 1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
| 1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
| 1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
| 1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
| 1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
| 1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
| 1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| Find all providers in zip 28227 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1629688668 | Anu James | Pharmacist | 7005 Flying Scotsman Dr, Charlotte, NC 28213-5369 | 2020-08-05 |
| 1821608977 | Liza Carolina Schimmelfing | Pharmacist | 1300b East Blvd, Charlotte, NC 28203-5802 | 2020-08-04 |
| 1558986083 | Brooke Maag | Pharmacist | 12600 District South Dr Apt 2203, Charlotte, NC 28277-5209 | 2020-06-10 |
| 1508485707 | Mais Anis Humaideh | Pharmacist | 4521 Hamptonridge Dr Apt 207, Charlotte, NC 28210-1386 | 2020-04-09 |
| 1629603071 | Hind Al-bayati | Pharmacist | 9008 Woodbine Walk Rd Apt 7200, Charlotte, NC 28277-7004 | 2020-03-05 |
| 1659922219 | Dustin Thomas Roe | Pharmacist | 210 E Trade St Ste 186, Charlotte, NC 28202-2413 | 2019-09-25 |
| 1437718020 | Tiffany Kneuss | Pharmacist | 1021 Morehead Medical Dr Ste 70100, Charlotte, NC 28204-2990 | 2019-06-07 |
| 1104395029 | Christelle Pouani Kouemo | Pharmacist | 9816 Rocky Ford Club Rd, Charlotte, NC 28269-2860 | 2018-11-20 |
| Find all providers in CHARLOTTE | ||||
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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.