OYINDAMOLA OSIBANJO (NPI# 1780188300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780188300 |
| Entity Type | Individual |
| Full Name | OYINDAMOLA OSIBANJO |
| Practice Address |
255 Lancaster Dr Ne Salem OR 97301-5155 |
| Practice Telephone | 5035768340 |
| Practice Fax Number | 5033640775 |
| Mailing Telephone | 5035768340 |
| Mailing Fax Number | 5033640775 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0016507 | OR | Pharmacy Service Providers |
| Street Address |
255 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255322269 | Heather Diaz | Family Medicine | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2005-10-31 |
| 1790335016 | Madel Carmen Meza Cortes | Case Manager/Care Coordinator | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2019-09-18 |
| 1477107092 | Erika Marcia Rosin | Registered Nurse | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2019-07-31 |
| 1205303922 | Martha Laura Martinez | Case Manager/Care Coordinator | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2018-10-31 |
| 1073088191 | Fiorella Saavedra | Physician Assistant | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2018-10-04 |
| 1053808253 | Laboratory Corporation of America | Clinical Medical Laboratory | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2018-04-13 |
| 1588179113 | Stephanie Elaine Burnham | Registered Nurse | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2017-12-05 |
| 1013446640 | Emily Gray | Pharmacist | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2017-06-07 |
| 1285169318 | Thien-y Maria Hoang | Dentist | 255 Lancaster Dr Ne, Salem, OR 97301 | 2017-04-26 |
| 1881129427 | Capella Crowfoot Lapham | Registered Nurse | 255 Lancaster Dr Ne, Salem, OR 97301 | 2017-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1194356493 | Katherine Janssen | Pharmacist | 875 Oak St Se # 1090, Salem, OR 97301-3975 | 2020-01-27 |
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1982263141 | Darla York | Pharmacist | 502 Highway 62 W, Salem, AR 72576-8400 | 2019-06-11 |
| 1083182372 | Virgil A Guthrie | Pharmacist | 648 Thompson Ave Ne, Salem, OR 97301-2753 | 2018-11-05 |
| 1538645262 | Joo Hyeon Kim | Pharmacist | 3509 Commercial St Se Ste 3507, Salem, OR 97302-3829 | 2018-07-16 |
| 1578086021 | Courtney Parker | Pharmacist | 25 Pelham Rd Ste 104, Salem, NH 03079-4872 | 2017-07-17 |
| 1710359476 | Albert Folsom | Pharmacist | 2757 22nd St Se, Salem, OR 97302-1553 | 2015-10-21 |
| 1558799312 | Tamara Dean Mccollum | Pharmacist | 7 Harbour View Dr, Salem, SC 29676-4513 | 2013-10-14 |
| 1790027431 | Rebecca Cauble Marshall | Pharmacist | #3 Public Square, Salem, IN 47167-9430 | 2013-03-20 |
| 1346587300 | Caitlin Laucka Paarlberg | Pharmacist | 2360 Foxfield Ln, Salem, VA 24153-4740 | 2013-01-10 |
| Find all providers in SALEM | ||||
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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.