Faustina Niyemamwen Evbuomwan, B.SC PHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

14355 Issued in AZ

Practice address

Pharmacy Department, Fdih
Junction of RT12 & RT 7
Fort Defiance, AZ 86504

Phone

(928) 729-8328

Fax

(928) 729-8348

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Faustina Niyemamwen Oyegun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043430614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1801",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865041801",
            "telephone_number": "928-729-2938",
            "fax_number": "928-729-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHARMACY DEPARTMENT, FDIH",
            "address_2": "JUNCTION OF RT12 & RT 7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8328",
            "fax_number": "928-729-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVBUOMWAN",
        "first_name": "FAUSTINA",
        "middle_name": "NIYEMAMWEN",
        "name_prefix": "Mrs.",
        "credential": "B.SC PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "14355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INSURAN",
            "identifier": "313404259-1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAUSTINA",
            "last_name": "OYEGUN",
            "middle_name": "NIYEMAMWEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glen Allen Eisenhuth, DDS
• Henrietta Ekokobe
• Carole A. Eriacho, LMSW
• Douglas Henry Esposito, MD, MPH, FAAP
• Patrick Francis Eucalitto, MD
• Tessa Tahereh Facer, PA-C
• Perlita R Fajardo, RRT
• Brenda Farrish
• Mike Danny Faz, PHYSICAL THERAPIST
• Amber Anne Fischer, PT, DPT

• Pharmacist in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.